High School Medical Records
Resume:
High School Diploma:
East High School
Memphis, TN
Some College (No Degree):
Delgado Community College
New Orleans, LA
********@*****.***
Mobile, AL 36695
Skills
• Inpatient and outpatient care
• Hospital medical service
• Information documentation
• Extensive Medicare experience
• Medicaid Knowledge
• Proficient in Experian
• Insurance Plan Verification
Electronic Authorization
Processing
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• Electronic Medical Records
• Coverage and Authorizations
• Insurance Coverage Verification
• Coordination and Scheduling
Education And Training
Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Parallon - Insurance Verification Specialist
Nashville, TN
09/2019 - Current
Baptist Hospital East - Schedular/Insurance Verifier Pensacola, FL
08/2017 - 09/2019
Dr David Chandler- Andrews Institute - Front Desk Receptionist Gulf Breeze, FL
09/2016 - 08/2017
Tiffani Cain
Summary
Experience
Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
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Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
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• Maintained accurate documentation on all pre-authorization requests. Updated patient and insurance data and input changes into company computer system.
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Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
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Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
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• Navigated through multiple online systems to obtain documentation.
• Verify correct insurance plans.
Perform electronic eligibility confirmation when applicable and document results.
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• Complete Medicare Secondary Payer Questionnaire.
• Schedule PCP and specialist appointments
• Utilize system account notes as appropriate
• Schedule diagnostic tests and procedures
• Obtain authorizations for outpatient procedures
• Greeted customers warmly and made them feel welcome. Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
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• Assisted with scheduling appointments for clients and visitors. Managed incoming and outgoing mail, courier services, faxes and other correspondence.
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Performed data entry into computer systems to maintain accurate records of customer information.
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Updated customer information in databases regularly to ensure accuracy of records.
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Processed payments from customers using a variety of payment methods including credit cards and checks.
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