Data Entry Prior Authorization
Resume:
Jowanna Waits
Desoto, TX ***** • 972-***-**** • ************@*****.***
Professional Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Skills
●Claims
●Data Entry
●Eligibility Determination
●Medical Terminology
●Prior Authorization Processing
●Benefit Coverage
●Patient Referrals
●Effective Communication Skills
Work History
Claims Adjudication, 04/11/2021 to 12/07/2023
Huron Consulting Group – Chicago, Illinois
●Maintained strict confidentiality with all personal data as per company guidelines.
●Viewed reports regularly to make sure processing was conducted efficiently.
●Maintained strong knowledge of basic medical terminology to better understand services and procedures.
●Verified client information by analyzing existing evidence on file.
●Prepared insurance claim forms or related documents and reviewed for completeness.
●Made contact with insurance carriers to discuss policies and individual patient benefits.
Communicated verification and authorization status updates to facilitate decision-making for patient admissions and insurance coverage.
Insurance Analyst, 12/2019 to 04/11/2021
Baylor Scott & White – Dallas, TX
●Maintained strict confidentiality with all personal data as per company guidelines.
●Viewed reports regularly to make sure processing was conducted efficiently.
●Maintained strong knowledge of basic medical terminology to better understand services and procedures.
●Verified client information by analyzing existing evidence on file.
●Prepared insurance claim forms or related documents and reviewed for completeness.
●Made contact with insurance carriers to discuss policies and individual patient benefits.
●Communicated verification and authorization status updates to facilitate decision-making for patient admissions and insurance coverage.
Medical Receptionist, 11/2015 to 11/2019
CDI – Mansfield, TX
●Adhered to strict HIPAA guidelines to protect patient privacy.
●Checked patient insurance, demographic, and health history to keep information current.
●Helped patients complete necessary medical forms and documentation.
●Coordinated patient scheduling, check-in, check-out and payments for billing.
●Prepared and processed patient referrals and transfer requests.
●Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
●Obtained payments from patients and scanned identification and insurance cards.
Medical Front Office Receptionist, 04/2014 to 11/2015
Medical And Surgical Clinic Of Irving – Irving, TX
●Managed a multi-line phone system and pleasantly greeted patients.
●Coordinated patient scheduling, check-in for Family practice and Urology while collecting payments for co-pays, deductibles, procedure charges and surgery fees.
●Completed administrative patient intakes with case histories, insurance information and mandated forms.
●Prepared and processed patient referrals and transfer requests.
●Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Education
Associate of Applied Science: Medical Office Management, 01/2015
Kaplan University - Davenport, IA
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