Authorization Specialist Healthcare
Resume:
Bachelor of Science - Health
Administration
Belhaven University
Jackson, MS
Well-organized healthcare specialist with demonstrated knowledge of healthcare procedures and administrative operations in medical environments. Experienced with insurance forms, charts and other business correspondence. Detailed understanding of complex office and practice management systems for maintaining secure patient information. Insurance Verification Specialist
AISHA MALIK SZ Medical Billing & Consulting Services ” Alexandria, VA CONTACT
adm0ke@r.postjobfree.com
Alexandria, VA 22315
SKILLS
• Insurance terminology
• Medical terminology
• Medicaid, Medicare knowledge
• Insurance plan verification
Electronic authorization
processing
•
• Database management
• Organizational skills
Accounts payable and
receivable
•
EDUCATION
SUMMARY
EXPERIENCE
Called insurance companies to ascertain pertinent
information regarding policies and payment benefits for patients.
•
Verified that patients had the proper insurance
coverage prior to any procedures or appointment
scheduling.
•
Updated all patient and insurance data regularly
and carefully inputted changes into company's
computer system.
•
Entered patient information including insurance,
demographic and health history into the system to
keep all records up-to-date
•
Observed strict HIPAA guidelines at all times
according to company policy.
•
Processed patient payments and scanned
identification and insurance cards.
•
Contacted insurance providers to verify correct
insurance information and obtain authorization for proper billing codes.
•
02/2020 - 12/2020
10/2017 - 12/2019
Insurance Authorization Specialist
Central Florida Quality Care Services, Inc Orlando, FL Office Manager
Hampton Realty Group, Inc Orlando, FL
Answered phone calls and responded to questions
regarding insurance concerns and issues.
•
Responsible for verifying Medicare, Medicaid and
third party insurances, and ensuring the integrity of the data in the system.
•
Perform intake and coordinate staffing of PCA
referrals, as well as obtain and track insurance
authorizations for hourly personal care services and confirm eligibility on a monthly basis.
•
Building and maintain strong relationships with
payors, referral sources, and internal service
offices. Have strong customer service skills,
attention to detail, and an all hands on deck
attitude.
•
Forwards appropriate information regarding
coverage issues to intake coordinator.
•
Ensures information is entered in the computer
accurately.
•
Obtains necessary prior authorization from third
party payers and ensures information is entered in the system.
•
Prints necessary screens of insurance verification and forwards to medical records department for
filing.
•
Provides management staff with data requested.
Performs other duties as requested.
•
Collaborated and worked directly with the owner
managing new and existing client relationships.
•
Managed properties and clients to ensure the
highest level of client satisfaction.
•
Maintained great service while selling, purchasing, and renting condos and homes.
•
Solicited vendor quotes to determine optimal
material purchase pricing.
•
• Generated financial reports for management
01/2013 - 07/2017
Customer Service Associate
Grocery Depot Clinton, MS
review.
Maintained office supplies inventory by checking
stock and ordering new supplies as needed.
•
Entered invoice data into company database and
updated details, including customer contacts and
delivery dates to keep information current.
•
Greeted visitors promptly and directed to correct
locations.
•
Point of purchase sales; cash-drawer accountability and reconciliation.
•
Responsible for inventory documents and general
retail practices and inspection.
•
• Managed general business operations.
Assisted supervisors and employees with all
required tasks.
•
Educated customers on special pricing opportunities and company offerings.
•
Documented conversations with customers to track
requests, problems and solutions.
•
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
•
Contact this candidate