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Customer Service Insurance Verification

Location:
Seabrook, TX
Posted:
March 09, 2024

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Resume:

Tanya Naschke

979-***-****

ad38jg@r.postjobfree.com

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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