Data Entry Verification Specialist
Resume:
Springfield, OH 45506
Education
Sinclair Community College
Medical Office Specialist Certification
Northridge High School
Diploma
Experience
Verification Specialist
Alternate Solutions Health Network February 2013 – November 2022
Data entry for a high volume of new patient referrals into the HCHB software system.
Accurately verifying patient insurances for multi-state branches using various websites. Confidently addressing insurance concerns of patients and coworkers.
Excellent troubleshooting skills. Calling various insurance companies and working to obtain the needed information to verify the patient’s insurance benefits.
Accurate processing of face-to-face documentation while maintaining compliance within the Medicare guidelines.
Providing excellent customer service by answering incoming calls promptly from patients and physicians’ offices and transferring calls to our various branches and departments.
Making calls to patients, physician offices and insurance companies concerning face-to-face documentation and insurance issues. Assisting the patients with their concerns with compassion and empathy.
Training new employees with patience, confidence and understanding of what they need to learn.
Clerk III
Kettering Health Network Homecare June 2009 – February 2013
Verifying various types of insurance in their corresponding websites. Researching patient information in Epic Hyperspace to locate vital missing information.
Tracking and obtaining required signed physician face-to-face forms for compliance purposes.
Provided excellent customer service by answering all incoming questions and concerns from physicians’ offices and patients.
Overseeing and purchasing medical supplies for our entire roster of patients, while searching for the best product at the lowest price and the quickest ship time.
Maintaining a fully stocked medical supply room at all times.
Interacting professionally in person and by phone on a daily basis with medical supply representatives, obtaining the best prices and voicing all supply concerns.
Medical filing consisting of creating new charts, filing all paperwork, discharging and pulling charts using Allscripts software. Copying and faxing charts when requested while staying in compliance with HIPA laws.
Providing the best customer care while answering incoming calls promptly, directing the call to the appropriate locations, attending to patient’s questions and concerns with the upmost sincere empathy.
Volunteer Receptionist
Cassano Health Clinic March 2009 – June 2009
Provided the best customer service by identifying the needs of incoming patients. Checking the patients into the software system. Assisted with resolving issues and concerns of the patients, nurses and physicians. Provided direction and guidance to all patients in the front reception area.
Pulled patient’s charts that was to be seen the next day and filed away the chart of patients that had already been seen.
Receptionist
Fox Heating and Air Conditioning, Inc. July 2007 – January 2009
Provided excellent customer service by identifying customer needs. Assisted with resolving issues and concerns about the HVAC products or service. Teamed with management to be proactive in defusing customer’s complaints.
Primary liaison between technicians and customers. Dispatching incoming service calls to the technicians.
Team Leader
Mazer Corporation March 1997 – May 2007
Team leader for 10-12 employees on a production line. Managed the team, the consistent production and the quality of the product being produced.
Monitoring productivity of the merchandise being shipped to vendors daily on a set time schedule.
Skills
Team Leader for 10-12 employees for 5 years. Management skills and training.
Excellent customer service
The ability to troubleshoot problems and apply effective solutions in many different situations.
Self-Motivated. Makes decisions with confidence
Professional telephone etiquette
Display the ability to learn rapidly and adapt quickly to changing situations.
Medical terminology, Billing and insurance verification
Fast and accurate data entry skills
Software/System Skills
HCHB
Allscripts
Epic Hyperspace
Word, Outlook, PowerPoint
Internet based PECOS
Availity Website
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