Verification Specialist Customer Service
Resume:
Maricris Medina Calalang
Manvel, Texas *****
*************@*****.***
Professional Summary
Highly motivated, resilient, goal oriented individual with 4 years of experience in Insurance Eligibility/Verification and 2 years of experience in Rehabilitative Healthcare Settings. Hands on professional with an excellent oral and written communication skills. With a bachelor's degree in Physical Therapy and Nursing, I have a high knowledge of medical terminology. Knowledge on HIPAA regulations. An extensive experience in clerical and administrative duties. Knowledge of CPT/ICD codes. I am looking to further my specialized background and broaden my knowledge in others.
EDUCATION
Bachelor’s Degree in Nursing
Bachelor’s Degree in Physical Therapy
SKILLS
Excellent organizational and communication skills (Verbal and written)
Strong interpersonal skills
Knowledge on CPT/ICD Coding
Strong problem solving and decision-making abilities
Ability to work on a fast-pace environment
Strong knowledge in administrative and clerical procedures
Proficient in computers and relevant software applications
Knowledge of customer service, principles, and practices
Operating /Maintaining PT equipment
Expertise in performing PT interventions
Bilingual (Can speak Tagalog)
Knowledge on HIPAA Regulations
WORK HISTORY
INSURANCE VERIFICATION SPECIALIST- 2019-Present
RESTWELL SLEEP AND DIAGNOSTICS - DICKINSON, TEXAS
Verify insurance eligibility for medical insurances for upcoming appointment
Maintains patient demographic info and data collection systems
Review patient deductibles and copays
Enter insurance referrals as needed
Answers questions from patients, clerical staff, and insurance companies
Works in conjunction with the reception to ensure clean billing
Maintains strictest confidentiality, adheres to all HIPAA guidelines/ regulations
TESTING TECHNICIAN- 2017-2019
MULTISPECIALTY AND DIAGNOSTICS - HOUSTON, TEXAS
Performing diagnostic tests such as allergy test, sleep study test, Pulmonary function test, EMG, NCV, ANS, VNG, BALANCE TEST, CPAP/APAP
Adheres to safety regulations when handling any tools
Organizing work records and report
Analyzing and collecting data
REHABILITATION TECHNICIAN-2015-2017
REHABILITATION MANAGEMENT AND STAFFING LLC- HOUSTON, TEXAS
Transport patient to and from treatment area
Observe patients undergoing treatments and report status to supervising Therapist
Help develop, implement, and optimize patient treatment plans and goals
Schedule patient appointments and assist therapist and office staff in organizing caseloads
Cleaning work areas and disinfecting equipment after treatments
Follow all HIPAA rules and regulations regarding patient’s confidentiality
Document each patient case with updates in computer system
CERTIFICATIONS
Philippine Nursing Board Passer (February 2008)
Contact this candidate