Insurance Verification Specialist
Resume:
OVERVIEW
Meticulous, detailed-oriented and experienced Healthcare Insurance Verification Specialist. Working alongside providers, insurance companies, and patients to ensure proper claims filing and patient collections. Strong understanding of the insurance industry.
Senior Insurance Verification Specialist
Penny Minchella
**********@*****.***
EXPERIENCE
EDUCATION
Senior Insurance Verification Specialist
Childrens Orthopaedic & Scoliosis Surgery Assoc.
01/2013 - current
Oversee the insurance verification department. Maintain and manage the insurance plan database. Responsible for training staff. Manage and verify all insurances for 7 doctors and 5 office sites (to include referrals and authorizations as well).
Hillsborough Community College
Plant High School
Insurance Verification Specialist
Childrens Orthopaedic & Scoliosis Surgery Assoc.
01/2000 - 01/2013
I helped to develop and put in place a system we currently still use to date; to verify specific benefits so we can collect at time of service the exact patient responsibility. Familiar with the 270/271 transactions as well as all major insurance web sites. Responsible for providing accurate verifications for claims processing and for patient responsibility collections.
SKILLS & COMPETENCIES
Conflict Resolution Database Management
Patient Care Prioritization Leadership
Administrative Support Phreesia One Note
AthenaPractice OSHA HIPPA Team Player
Commercial Plans Medicaid Plans Referrals
Authorizations Coordination of Benefits TPL
Knowledgeable on insurance plan sites
Patient Collections Specialist
Childrens Orthopaedic & Scoliosis Surgery Assoc
10/1998 - 01/2000
Managed all aspects of patient accounts to assure proper and timely payment is received from guarantors. Responsible for setting up payment plans, sending collection letters, working with collection agencies or attorneys for large and/or unpaid balances.
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