Verification Specialist Insurance Underwriter
Resume:
Yualanda P. Johnson
**** ****** ******** **** #***
Jacksonville, Fl. 32244
***************@*****.***
Qualification Summary
● More than 10 years of Customer Service experience.
● Possessing excellent verbal and written communication skills.
● Experienced in company specific software such as: Diamond, Siebel and Oracle.
● Proficient in Microsoft Word and Excel.
● People-oriented specializing in support and fairness.
● Detail oriented with a focus on quality and precision.
● Successful at multi-tasking, organized, and balanced with time management skills. Work Experience
Insurance Verification Specialist-
Remote
R1RCM/Robert Half -Jacksonville, Florida
March 2022 to Present
● Assigned to Insurance Verification of Primary Liability payers, ie: Workers Compensation, Auto and/or Veterans Administration coverage.
● Processed and completed all levels of coverage, services and authorization of Insurance.
● Contacted Insurance, Doctors office and/or Patients for additional benefit or authorization information.
● Assisted Patients and Doctors with rescheduling.
● Utilized several systems for appointment and authorization status such as: cerner, host, webdenis, aim, availity, evicore and emdeon.
Benefits Verification Specialist(WFH)
Spectraforce/Lash Group- Jacksonville, Florida
11/2021-02/2022
● Processed Annual Enrollment 2022
● Contacted Insurance via telephone to verify members eligibility and benefits coverage.
● Verified Prior Authorization status, requirement and submittal process.
● Verified eligibility status and level of specialty drug coverage with participating pharmacies.
**Temporary Assignment Ended**
Customer Care and Technical Support(WFH)
GC Services - Jacksonville, Florida
05/2018 –09/2021
● Presented customers with Online School account login and setup.
● Provided and Reset password and/or username.
● Ordered and provided the delivery status of school materials and hardware.
● Offered and provided technical support regarding all software and hardware issues.
● Delivered navigation through the online school portal to locate teachers, courses, and classes. Health Insurance Underwriter
Allstate Corporation - Jacksonville, Florida
08/2016 – 01/2018
● Processed applications for approval.
● Contacted agent or applicator for missing information via email or mail.
● Directed incoming applications and referred to correct departments.
● Completed approval for received applications by end of the week cutoff. Provider Support
Payspan, Inc. - Jacksonville, Florida
08/2013 – 08/2016
● Supported providers with password retrieval or locked accounts.
● Aided Doctors, Nurses, and/or staff with website registration.
● Assisted caller with online navigation, supporting access to website.
● Supplying caller with verification codes/pin numbers via email and/or telephone.
● Verified payment date, amount, method, and payer information, along with updating banking information.
Education
High School Diploma 06/1986
Paxon Sr. High Jacksonville, Florida
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