Insurance Specialist Call Center

Insurance Specialist

JENNY WILSON

PHONE: 847-***-****

EMAIL: ***************@*****.***

ADDRESS: **** ***** ***** *******

VIRGINIA BEACH VA 23652

ABBVIE ENDOCRONOLOGY, 01/2021 - PRESENT

Provide and clearly communicate insurance coverage, verification details prior to authorization statues and alternate funding options for existing and newly launched products. Provide offices with current plan forms, portals, and websites for prior authorizations and appeal submissions. Accurately document information in the approved system-of-record, communicate insurance details to all required recipients and formats as per established policies and procedures. Work cross-functionally to identify and share opportunities for process and productivity improvements. Insurance Specialist II

RANDSTAD, 08/2019 - 2020

Understand and comply with all required training, including adherence to federal, state and local pharmacy laws, HIPAA policies and guidelines, and the policies and procedures. Complete all required training and perform all functions in the position. Meet or exceed department standards relative to performance and quality metrics. Perform additional tasks, activities and projects as deemed necessary by management. Insurance Specialist I

SNAP DIAOGNOSTICS, 07/2015 - 01/2019

Provide training to new support personnel to the call center environment. This includes use of phone system, registration program, Snapshot program as well as other programs used to assist internal and external customers in the registration, verification of benefits, shipping of equipment and handling of customer complaints. Create and/or update customer accounts in multiple databases, of both patients and health care facilities. Handles inquiries of patients as well as medical professionals in regards to patient records, test results and equipment status. Trained seven of eight current Inside Support representatives. Assists in the development of Snapshot, a software program created to assist Territory Managers in the management of health care facilities in their area. Assists in the training of Territory Mangers on the use of the new software. Create and/or update customer accounts in multiple databases. Ship medical devices to clients throughout the United States. Inside Support

R E L A T E D WORK E X P E R I E N C E

Medical terminology

Insurance terminology

Insurance verification and

Electronic health records

HIPAA/Patient confidentiality

eligibility

E S S E N T I A L S K I L L S

Extensive experience with MS Office including MS Word, Excel, PowerPoint, and Outlook

Extensive experience with Patient Registration program, Snapshot, NexGen

Moderate experience with Goldmine

Beginning experience with TMO and Availity

Extensive experience with developing, testing, teaching and using of RiskKey

C OMPUTER S K I L L S

Associate in Arts

College of Lake County, Grayslake, IL

E D U C A T I O N

ATHLETICO PHYSICAL THERAPY, 01/2019 - 05/2019

Facilitate communication with patients, all clinic staff, referral sources, insurance companies, and all corporate departments. The Office Coordinator offers the highest level of customer service to ensure that patients receive the utmost care, consideration and is an integral part of the clinic success. Schedule and registration of patients. Obtaining and verifying patient insurance information and manage patient insurance requirements to include pre-authorizations. Manage communication of patient progress to physicians, nurse case managers, adjusters, attorneys via fax, email or phone. Office Coordinator

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