Insurance Verification
Resume:
Regina Yellets
ad2pd8@r.postjobfree.com
Irving, TX 75061
Authorized to work in the US for any employer
Summary
In search of an opportunity to grow with a medical facility that offers room for advancement.
Work experience
Physician Accounts Representative III
Xtend Healthcare-REMOTE - Irving, TX
June 2019 to Present
Daily calls to Insurance Companies Commercial and Government to status claims for processed and paid claims
Insurance verification on all accounts to ensure proper billing
Work aged trial balance high dollar monthly
Report all denial trends to management
Request code review on physician accounts such as labs, office visits, radiology including Emergency Room and Observation charges
Transplant Financial Reviewer
Baylor University Medical Center (BUMC) - Dallas, TX
October 2015 to May 2019
Verify patient eligibility prior to services
Coordinate with nurse review to ensure all clinical documentation was sent to the insurance company for pre and post transplant care including live donor and auto islet cell
Obtain authorization and precertification for inpatient transplant lung, kidney, liver, heart, lung, bone marrow
Admit and discharge patient accounts daily and correct insurance financial code.
Follow up on aged and denied accounts in support of staff for centralized billing department
Medical Collector-Self Biller
Baylor Scott White Surgical Institute - Dallas, TX
April 2012 to September 2015
Daily calls to Insurance Companies Commercial and Government to status claims for processed and paid claims
Insurance verification on all accounts to ensure proper billing
Work aged trial balance high dollar monthly
Report all denial trends to management
Request code review on physician accounts such as labs, office visits, radiology including Emergency Room and Observation for surgeon and assistant surgeon claims
Insurance Verification Team Lead
Our Children's House at Baylor - Dallas, TX
September 2008 to March 2012
Verified patient eligibility, benefits and authorizations with Insurance companies prior to surgery, labs, X-rays, PT, OT, ST, Feeding and behavioral evaluations
Identified and and accurately uploaded patient account according to the insurance codes
Contacted patient to explain benefits included: copay’s, deductibles, and any out of pocket costs due at the time of service
Supervised all upcoming scheduled services to ensure timely turnaround time were met
Conducted training and quality reviews for each staff member with positive feedback
Notified Director and manager of any trends or changes with Medicaid HMO, Medicaid, and Commercial Insurance
Education
College in Psychology
University of Phoenix-Online Campus - Phoenix, AZ
April 2011 to November 2012
High school diploma
Langley High School - Pittsburgh, PA
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