Insurance Verification Medical
Resume:
€ Inbox NV
Arozo Husseinkhel
Email: ****.***********@*****.***
Phone: 703-***-****
WORK EXPERIENCE
Virginia Medical Alliance Springfield, VA
Referral Cordinator/Billing Mar 2007 — Present
Solid understanding of medical insurance (including plan types and requirements, claims processing, authorizations, referrals,
insurance verification, and payor-specific rules for billing)
Familiarity with medical terminology, ICD 10, CPT, HCPCS codes, and billing modifiers
Familiarity with Microsoft Word, Excel and/or equivalent Google Workspace apps
Reviews claims for accuracy, completeness, and correct coding to reduce denials and facilitate prompt payment to our multi-
specialty, multi-site medical practice
Authorization MRI CT Scan, RX Medication, Chronic Care management
Resolve routine patient billing inquiries
Answer staff and provider questions related to billing
Review claims to ensure payor-specific billing requirements are met
Conduct insurance verification
Ensure that referrals get obtained when necessary
Participate in ongoing training and education to maintain current knowledge of billing and coding guidelines and insurance
regulations
Properly coding: services, procedures, diagnoses, and treatments
Submit electronic and paper claims to major insurance companies, including Medicaid to collect medical payments
Communicate with insurance providers to resolve resubmitted and denied claims
Create and double check charges before submitting to insurance to make sure visits have been coded correctly
Review billing problems, research issues and resolve concerns
Keep up to date with changes in coding and diagnostic procedures
Beaute Nest Nail & Beauty, Woodbridge VA Mar 2016— Dec 2022
Spa Manager
Overcoming objections during the sales process to increase the membership base.
Developing marketing strategies aimed at achieving revenue and profit maximization.
Conducting data analysis to drive business decisions and success.
Exercising good judgment, working independently, with minimal supervision.
Planning and directing to meet the daily operational needs.
Efficiently tracking employee schedules to optimize productivity, revenue, and profits.
Maintaining the maximum cleanliness and soothing atmosphere of the premises.
Ensuring high customer satisfaction, resolving customer dissatisfaction, and addressing service complaints.
Ensuring compliance with all Beaute Nest’s cultures, policies, and procedures, in addition to local, state, and
federal laws and regulations.
Hiring, training, supervising, developing, and mentoring all team members, following Beaute Nest’s culture,
policies, and procedures.
Motivating and empowering the team to achieve high standards.
Oversee the daily operations of the spa, ensuring smooth and efficient functioning.
Manage and supervise spa staff, including hiring, training, and scheduling.
Develop and implement spa policies and procedures to maintain high standards of service.
Monitor inventory levels and order supplies as needed.
Maintain a clean and organized spa environment.
Handle customer inquiries, complaints, and feedback in a professional and timely manner.
Coordinate with vendors and suppliers to ensure timely delivery of products and services.
Lead regular staff meetings to communicate updates, provide training, and address any issues or concerns.
EDUCATION
Lake Braddock HS Diploma
SKILLS
Software and Financial Systems: Proficiency in Microsoft Office (Microsoft Word, Advanced Excel, Power Point, Publisher)
Languages: Fluent in oral Dari
REFERENCES: Available upon request
Contact this candidate