Customer Service Insurance Verification
Resume:
Tanya Naschke
********@*****.***
Objective: To gain meaningful employment within a well-established organization while utilizing my knowledge and skills.
Professional Profile:
● 15+ years of healthcare customer service experience
● Accustomed to fast paced and metric driven environment
● Strong experience in insurance verification, education of benefit benefits, referrals, prior authorization, billing, and scheduling appointments
● Strong knowledge on Medical, Pharmaceutical Terminologies and HIPAA guidelines
● Proficient in MS office suite, used various EMR systems: Navinet, Onesite, Avality, Nextgen, Peoplesoft, Epic, Cigna.
Skills:
● Epic
● Billing
● Receptionist
● Scheduling
● Organizational Skills
● Section 8
● Medical Receptionist
● Medical Billing
● Insurance Verification
● PeopleSoft
● ICD-10
● EMR Systems
● Accounts Receivable
● Medical Coding
● Medical Scheduling
● Medical Office Experience
● Accounting
● Data Entry
● Specimen Collection / Processing
● Laboratory Experience
● 10 Key Calculator
● Typing
Education:
● Diploma – High School
Professional Experience:
American Surgical Professionals, Houston, TX
Surgical Coordinator 8/2020 to Pr
● Answer incoming calls from Various Hospitals
o Coordinates with Nurses and Doctors to provide Surgical Assistants for Elected or Emergent Surgeries.
● Complete Daily assignments requests for Surgical Assistants
● Enter cases into Surgical Cloud, with working knowledge of Assistants that are on call. Altus Infusion, Pearland, TX 11/2019 to 10/20
Prior Authorization Specialist
● Obtain authorization for J codes under patient’s medical benefits for buy and bill
● Obtain referrals if needed
● Figure patient’s financial responsibility
● Assisting patients who cannot afford drug different grants and assistance programs
● Scheduling appointments
● Handles medical records
Southloop MRI Houston, TX 03/2018 to 11/2019
Insurance Authorization Specialist
● Responsible for verifying Insurance and obtaining authorizations for imaging exams
● Worked with clinical staff to ensure orders are correct and obtain necessary clinical information to relay to insurance
● companies
● Informed patients of financial responsibilities and processing payment plans if needed also responsible for collections
● Verified insurance and eligibility
Texas Oncology Cancer Center, Webster, TX 10/2018 to 12/2018 Patient Care Coordinator (Temp)
● Scheduled for busy Oncology Clinic, Insurance Verification, Collections, Switch board 15 line,
● Processing orders and referrals, Billing and coding scheduling for imaging exams Memorial Hermann, Houston, TX 10/2017 to 09/2018
Patient Access Representative II Traveler (Temp)
● Registered Patients
● Verified insurance
● Collect co pays or deductibles
● Scheduled patients for future appointments
● Request authorizations if needed
● Scheduling and registration for outpatient imaging
● Responsible for switchboard 15 line and directing to appropriate staff, billing West Isle Urgent Care Galveston, TX 01/2015 to 05/2017 Medical Receptionist
● Registered and discharged patients
● Collected co pays
● Verified Insurance
● Scheduled appointments
Mathews Construction and Cleaning 10/2008 to 12/2015 Administrative Assistant
● Scheduled appointments for very busy cleaning company
● Processed payroll
● Handled daily office operation
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