Data Entry Prior Authorization
Resume:
Kimberly Love
San Antonio, TX *****
**********@*****.***
Professional experience as a Customer service representative and Insurance specialist, Patient care with Healthcare industries.
Handling inbound and outbound calls, Patients inquiries, resolution of problems, data entry. Initiate prior authorization with various insurance companies, whether it be online, fax submission or phone request.
Experience with verifying details prior authorization status and alternative Product options for existing and newly Customer/Patients.
Experience with Registration of patient information, verifying all patient demographics. Insurance information, insurance verifications, copying and scanning insurance cards as well as appropriate patient identification
Proficient with MS Office, word, excel, Medicaid/healthcare insurance verification, Typing +35WPM
Education:
Associate degree. in Licensed Medical Assistant- Kaplan
Sandra Day O’Connor High School - Northwest Vista
Skills
Payroll, Medical scheduling (1 year), Microsoft Windows Server, Appointment scheduling (1 year)
I love to resolve issues, Works great with people, Familiar with all Microsoft software
Onboarding
Human Resources
New hire specialist
Conduct screenings
Technical Support, Troubleshooting, Human Resources, Microsoft Windows, IT Support, Desktop Support, Help Desk
Work Experience:
Patient Service Representative / Customer service
UnitedHealth Group - San Antonio, TX Jan 2023 - Jul 2023
I call patients and get them scheduled for appointments. Open new referral. Contact doctors, patients' chart etc, Insurance verification, Initiate prior authorization with various insurance companies
Handling Inbound and outbound calls, data entry, Handling customer and patient inquiries.
Responsible for verifying patient insurance coverage, to ensure procedures are covered by an individual's provider.
Registration of patient information, verifying all patient demographics.
Insurance information, insurance verifications, copying and scanning insurance cards as well as appropriate patient identification.
Initiate prior authorization with various insurance companies, whether it be online, fax submission or phone request.
Insurance specialist
Mercury Insurance-- San Antonio, TX Oct 2021 – Nov 2022
I take inbound calls from customers reporting the claim. Get details of claim and transfer information to claims team so an adjuster can handle claim,
Responsible for verifying patient insurance coverage, to ensure procedures are covered by an individual's provider.
Experience with verifying details prior authorization status and alternative Product options for existing and newly Customer/Patients.
Registration of patient information, verifying all patient demographics. Insurance information, insurance verifications, copying and scanning insurance cards as well as appropriate patient identification.
Initiate prior authorization with various insurance companies, whether it be online, fax submission or phone request.
Handling Inbound and outbound calls, data entry, Handling customer and patient inquiries
Human Resources Oct 2020 - Oct 2021
Wells Fargo - Randstad
I took inbound calls from managers assisting them with onboarding and getting new employees system access
Documentation, paperwork, data entry, managing the meeting, Handling the calls, resolution of Inquiries.
Human Resources coordinator/ Medicaid registration. Aug2019-Mar 2020
MMC (Medicaid)
Helped doctors with applications to be in Medicaid network.
Handling Inbound and outbound calls, data entry, Handling customer and patient inquiries.
Experience with verifying details prior authorization status and alternatives, to ensure procedures are covered by an individual provider.
Registration of patient information, verification, fast-paced, problem solving
Financial Advisor
Frost Bank - San Antonio, TX October 2017 -August 2019
Answered inbound calls
Assisted with all banking needs, Handling Inbound and outbound calls, data entry, Handling customer and patient inquiries. Assisted with all banking needs
Customer service / Card Services Rep. Apr 2013 – Sep 2017
Kohl’s Corp Office
I took care of inbound calls. Assisted customers with balanced information.
Processed payments. Assisted customers with balance transfers.
Customer Service representative Sep 2009 - Apr 2013
West Corporation
I took incoming calls for DIRECTV customers who were losing their 12-month promotions.
Worked in a fast-paced environment with back-to-back calls. Retention
Contact this candidate