Insurance Coordinator Verification
Resume:
Sandra Rodriguez
Insurance Coordinator
Chicago, IL 60641
******************@***********.***
Authorized to work in the US for any employer
Work Experience
Insurance Coordinator
American Hip Institute - Des Plaines, IL
January 2019 to Present
Clearing patient for Surgery and procedure
• Calling insurance to submit Authorization and secure benefits
• Securing Referral from doctors office to clear patient
• Knowledge of CPT codes and Dx codes
• Knowledge of Centricity, Insurance Portal
• CPS knowledge
Insurance Verification Specialist
Insurance Verification, Mount Sinai Hospital - Chicago, IL September 2017 to December 2018
Clearing patient for Surgery and procedure
● Calling insurance to submit Authorization and Secure benefits
● Securing Referral from doctors office to clear patient
● Knowledge of CPT and Dx codes
● Knowledge of Nextgen, Meditech, Link Care, Active Dash, Epic, InstaMed, Healthware, Insurance Portal Financial counselor
Mount Sinai Hospital - Chicago, IL
September 2016 to September 2017
Clearing Patient for surgery and Procedure
● Checking Eligibility on Insurance
● Collecting money for co-payments and payment plan
● Approving or denying Charity
Patient Advocate
Great Lakes Medicaid - Chicago, IL
September 2005 to November 2015
Responsible for processing over 800 Inpatient and outpatient hospital accounts
• Medicaid Eligibility Service
• Medicaid Denials (Appeals)
• Assist with eligibility of Social Security Benefits and Social Security Disability Insurance
• Reviewed and assisted patients in the application process
• Facilitate faster payment cycle
Patient Advocate
MedAssist - Chicago, IL
February 2003 to September 2005
Responsible for processing over 500 Inpatient Hospital accounts monthly
● Introduced eligible patients to financial aid through the Illinois Crime Victim Compensation Act
● Facilitate faster payment cycle
● Medicaid management
● Assist patients and families with application to Nursing Home
● Assist Public Aid Intake Department
● Assist Spanish speaking only patients and families with the complex procedures and the protocol of the Applications.
Education
None in Financial Management
Wilbur Wright College - Chicago, IL
September 1990 to June 1991
High school or equivalent
Carl Schurz High School - Chicago, IL
Skills
• Word
• Medical Records
• Clerical
• HIPAA
• ICD-9
• Medical records
• Epic
• Clerical experience
• Hospital experience
• Cash handling
• Financial management
Contact this candidate