Janice M. Flett

Worked remotely from North Augusta, SC

Cell: 803-***-**** Email: ad1ksd@r.postjobfree.com

OBJECTIVE

Detail-oriented professional with over 10 years of experience in the healthcare insurance industry, seeking an Insurance Verification Specialist position, working remotely, independently or as a team, within a stable, reputable organization. Proficient in verifying insurance coverage, handling patient inquiries and maintaining accurate records. Skilled at obtaining authorizations and referrals. Highly organized, adept at multitasking, prioritizing tasks to meet deadlines and exceed expectations. Committed to ensuring smooth operations within the department by leveraging strong problem-solving skills and knowledge of insurance policies and procedures. Skilled in the following areas:

Proficient (10+ years)

Insurance Verification Customer Service

ICD-9 and 10/CPT Coding Typing

Citrix, IDX Athena Multitasking

EMR Systems Time Management

Medical Terminology Attention to Detail

Medical Records Review Organization

Authorizations/Referrals

Microsoft Excel

Microsoft Word

Intermediate (Less than 10 years)

Teams - 5 years

Medical Billing – 3 years

Zoom – 2 years

EXPERIENCE

Eligibility Verification Specialist II

North American Partners in Anesthesia - Remote

January 2022 - November 2023

Demonstrated proficiency in MedSuite and MedData. Verified and entered and/or corrected patient insurance information as received. Completed Discovery file weekly to add insurance to accounts previously self-pay. Able to work Transunion to review accounts and make corrections for any discrepancies in insurance information. Maintained productivity quota while maintaining quality work. Adhered to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance. Utilized Workday for timekeeping and Zoom for interdepartmental meetings and communication. Trained in Athena IDX system for Hold bills and Transunion returns.

Pre-Access Services Representative

Augusta University Medical Center – Augusta, GA

April 2004 to December 2021

Verified insurance, completed patient registration and obtained benefits for services to be rendered entering all notes into the IDX system. Worked authorizations for radiology and medications. When working authorizations, collected all necessary documentation and contacted appropriate staff for additional information as needed. Completed timely and accurate submission of prior and retro authorization requests to payors. Interacted with staff, insurance companies, patients, and physicians as necessary, to complete prior authorizations. Contacted applicable insurance companies through internet or telephone depending on requirements, and relayed pertinent patient information to them for billing and medical prior-authorization purposes. Ensured timely authorizations in accordance with hospital policy. Worked appeals in a timely manner. Provided the highest level of customer service to internal and external clients.

EDUCATION

High school diploma, plus almost two years technical college for accounting program. Completed classes in ICD-10 and CPT coding as well as medical transcription.

REFERENCES

Available upon request.

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