Verification Specialist Collections Representative
Resume:
Elizabeth Alexander
Mableton, GA
********@*****.***
Work Experience
Insurance Verification Specialist
Northside Hospital - Atlanta, GA
February 2022 to Present
Responsibilities
Verifies insurance and initiates the pre-certification process of patient visits. 1. Contacts insurance companies to determine patient’s eligibility and coverage for hospital admission. 2. Contacts pre certification companies to initiate pre certification and obtain approval of confinement. 3. Works closely with the Financial Counselors in evaluating patient's insurance coverage. 4. Documents appropriate information regarding benefits to be received by the hospital, and the subsequent financial responsibility of the clients. 5. Reviews admission documents/information to ensure accuracy. 6. Demonstrates support for management staff.
7. Monitors department backlog and assumes additional workload to maintain a zero backlog. Accounts Receivable and Collections Representative Northside Hospital/ laureate medical group - Atlanta, GA September 2020 to January 2022
• Follow up and resolve outstanding accounts with no payments, partial payments, or denials in a timely matter for all insurance carriers. Track patterns of denials and rejections. Institute corrective action for the future. Result and resubmit rejected and unpaid insurance claims. Resolve returned mail.
• Work with medical staff to resolve coding issues and associated problems. Research and correct any fee sheet problems or errors. Clarify with the front office on any incorrect or missing insurance information.
• Submit overdue patient accounts to collection agencies when approved by attending position, adjust patient accounts when submitted to collection agency. Handle accounts in which patients have declare bankruptcy. Set up payment plans where appropriate.
• Answer questions regarding insurance in patient accounts. Respond to patients or insurance correspondence.
• Work defaulted accounts that have missed three or more payments. Self-pay queue.Attorney letters that need itemized bills sent out northside waivers and self-pay adjustments.
• Using all Scripps, EHR, Phreesia
From Office Personnel
Northside Hospital - Atlanta, GA
October 2018 to September 2020
• Responsible for handling front office reception and administration duties, including greeting guests.
• Answering phones all incoming phone calls.
• Check-in, check-out,collection patients demographic information.
• Post copay and outstanding balances to accounts.
• I work on different systems EHR Allscripts PM, Phreesia. Certified Fitter
Northside Hospital - Atlanta, GA
November 2016 to October 2018
• Measure and fit for inpatient and outpatient, for gradient compression stockings, sleeves and gloves.
• For clients with leg or arm pain lymphedema venous insufficiency, varicose veins. Assist clients with product
• Assist clients with product selection, providing current information and complete transactions related to products.
• Assist with daily operations and product inventory. Insurance Verification Specialist
Northside Hospital - Atlanta, GA
February 2009 to November 2016
• Acquire information from medical providers and posting patient demographics and verified insurance
• information into billing system for patient registration.
• Verifies insurance and potential necessity for pre-authorization.
• Determines appropriate insured, policy, group and billing addresses of primary, secondary, and tertiary insurances.
• Recognizes and follows MSP, ABN, and COB rules for each payer when applicable.
• Responsible for maintaining, accurate and updated patient information. Education
High school diploma
Barstow High School - Barstow, CA
September 1980 to June 1983
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