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Customer Service Insurance Verification

Location:
Boynton Beach, FL
Posted:
November 02, 2023

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Resume:

Kimberly A. Davis

Boynton Beach, FL *****

ad0s71@r.postjobfree.com

954-***-****

EDUCATION & CERTIFICATIONS

**** ******** ************* ** ******* Coding and Billing, GPA: 3.89, with honors Florida Career College; Pembroke Pines, Florida

2003 Training Certificate in Customer Service and Management Willow Customer Service Network; Miramar, Florida

1984 Cosmetology License and Certified Nail Extension Specialist Florida Board of Cosmetology

High School Diploma

Miami Norland Senior High School; Miami, Florida

WORK EXPERIENCE

10-2022 Billing / Insurance Verification / Medical Records Wellington Retreat Lantana, FL Hybrid Insurance Verification for all incoming patients, Medical records, etc. 1-2021 - 8-2022 Insurance Specialist / USPI -TENET Checking in patients, verifying insurance for all patients, call patients to explain how their insurance benefits work. Call insurance companies daily. Customer service, Daily deposit for the facility.

2018 - 2023 Jacks Billing LLC

REMOTE ABA Therapy Billing, OT Therapy Billing, Speech Therapy Billing, Complete Revenue Cycle - Credentialing, Medical claims submission, Medical insurance verification.

2019-2021 REMOTE Insurance Verification Specialist Lead / Unity BH; Hope Sound, FL Verify insurance for incoming patients, Collections, supervised trained new employees, for insurance specialist tasks and other responsibilities related to carrying out insurance verification, Customer service

2018-2019 REMOTE Insurance Specialist Lead / Holistic Recovery Centers; Rivera Beach, FL

(Call Center Closed) Verify insurance for incoming patients, Answer intake calls. 2017-2018 Medical Records Specialist Insurance Verifications Specialist / Integrity Billing; Palm Springs, FL Lead insurance verification specialist. Verified insurance for all incoming patients. Communicated with facilities through email and direct contact. Pulled medical records from various EMR systems and Kipu. Mailed/Faxed requested documentation and appropriate letter to insurance company to prove medical necessity and win appeals. Customer service. 2015- 2017 Insurance Specialist / Team Leader; Aid in Recovery; Palm City, FL Insurance specialist responsibilities. Assisted in restructuring the insurance department. Advised placement for incoming patients. Supervised and trained four employees on insurance specialist tasks and other responsibilities related to carrying out insurance verification, Customer service. Intake Counselor / Aid In Recovery; Deerfield Beach, FL

(Call Center Closed) Initiated the process of treatment acquisition for new patients. Interviewed and obtained clinical data about their substance use habits for the purpose of finding specialized treatment. Motivated clients for treatment. Collected insurance information and payment. 2011- 2015 Insurance Specialist; Watershed Addiction Treatment Center; Delray Beach, FL Verified medical insurance for incoming patients by communicating with insurance providers. Input data into center’s database for access by healthcare professionals. Customer service. Front Office / Paraprofessional / Special Needs Para, Panther Run Elementary, Glades Middle School Pembroke Pines, FL

I worked in every capacity as an employee and as a volunteer in several different schools. SKILLS & PROFICIENCIES

• ICD-9 /10 and CPT coding

• Microsoft Office

• Collaborate MD

• QuickBooks

• EMR systems

• Data entry

• Salesforce

• InContact

• Office 365

HONORS & AWARDS

Watershed Addiction Treatment Center Insurance Verifier of the Year: 2012, 2013, 2014 PERSONAL & PROFESSIONAL REFERENCES

Robert Hodge 786-***-**** ad0s71@r.postjobfree.com

Catherine Martino Fantauzzi 561-***-**** ad0s71@r.postjobfree.com John Davis Jr 954-***-**** ad0s71@r.postjobfree.com



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