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Verification Specialist Insurance

Location:
Dunbar, MD, 21205
Salary:
20.00
Posted:
January 31, 2023

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Resume:

Samira Greennagh

Baltimore, MD *****

adu18k@r.postjobfree.com

+1-410-***-****

Work Experience

Verification Specialist

Software Galaxy Systems, LLC - Princeton, NJ

January 2022 to November 2022

• Insurance Verification Specialist is responsible for obtaining verification of patient payer benefits and eligibility for the homecare services ordered. Includes Private Insurance, Veteran’s Association, Medicare/ Medicaid

• Ongoing written and verbal communication with case managers regarding authorization, re- authorization, and retro-authorization of visits

• Provide payers with verbal or faxed clinical status reports, etc. as needed

• Provide accurate documentation of conversations regarding patients Insurance Specialist

North Coast Medical Supply - Remote

February 2020 to December 2021

• Reviews and verifies Medicare Eligibility Report; interprets to determine best coverage through medical or pharmacy benefit

• Maintains detailed records in company database; documents all insurance information into each account, includes patient copayments and deductible amounts (if applicable)

• Answering 80 to 100 calls inbound and outbound calls at a high volume call center

• Pursues prior authorizations as determined by health plan or medical group requirements.

• Adapts quickly to frequent process changes and improvements

• Is reliable, engaged, and provides feedback as to improve processes and policies

• Help customers with complaints and questions, give customers information about products and services helping customers understand the product and answering questions CSR - Customer Service Representative

Allied Global - Baltimore, MD

June 2017 to October 2019

• Managed client records

• Set up client appointments

• Performed customer service surveys

• Assisted customers with a warm and professional attitude

• Answered general questions

• Answered calls from customers and clients

• Responded to claim inquiries

Education

Bachelor's degree in Criminal Justice

American InterContinental University-Online

March 2022 to Present

Simon Gratz High School - Philadelphia, PA

September 1996 to June 2000

Certifications and Licenses

AED Certification

Driver's License

CPR Certification

First Aid Certification



Contact this candidate