Insurance Verification Customer Service
Resume:
Cassandra Webb Rutland
Forsyth, GA *****
*************@*******.***
Objective
Highly trained professional with a background in verifying insurance benefits creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Skills
Coding medical procedures, Insurance plan verification conditions, and treatments Insurance terminology ~ Invoice and claim preparation ~ Good work ethic ~ Customer Service ~ HIPPA compliant ~ Strong knowledge of medical Quality control ~ Team Player ~ Terminology Quoting and pricing policies ~ Strong written and verbal communication ~ Ability to Multi-Task ~ Reporting abilities ~ Claims Audit ~ Efficient in Microsoft Office Suites
Education
Medical Billing & Coding / American Professional Institute
Surgical Technology / Flint River Technical College
Mary Persons High School / Diploma
Experience
02/2020-Present OrthoGeorgia Scheduler/Insurance Verification Macon, GA
Process claims that are received through Electronic Data Interchange (EDI) clearing house ~ Fax authorizations ~ Surgery schedule management ~ Utilize Athena System to complete assigned patient tasks ~ Assist patients with understanding personalized insurance coverage and benefits ~ Assure timely verification of insurance benefits prior to patient procedures or appointments ~ Comply with HIPAA guidelines and regulations for confidential patient data ~ Update patient records with accurate, current insurance policy information ~ Train new staff on current, correct insurance verification procedures ~ Coordinate referrals through insurance and other medical specialists and document details in patient charts.
03/2006-02/2020 Navicent Atrium Healthcare/ Billing & Coding Specialist Macon, GA
Reviewed bills to ensure accuracy and liaised with Medicaid/Medicare and private insurance companies to resolve discrepancies ~ Gathered information from healthcare providers to assign the correct medical code ~ Compiled and tracked outstanding balances owed to medical facilities ~ Corrected, completed, and processed claims for multiple payer codes ~ Logged charges and payments within [Software] ~ Monitored outstanding invoices and performed collections duties.
02/1999-03//2006 Geico/Claims Adjuster & Data Analyst Specialist Macon, GA
Conducted comprehensive analysis and evaluated risk to control underwriting loss ~ Reviewed and evaluated insurance applications to approve, suspend or decline requests ~ Collected and reviewed third-party reports to support decisions ~ Obtain information about applicant to determine coverage needs ~ Help determine premium cost ~ Offer recommendations on whether or not to approve an application.
References Available Upon Request
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