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Customer Service Insurance Verification

Location:
Norfolk, VA
Salary:
19
Posted:
August 05, 2023

Contact this candidate

Resume:

Jacqueline Woodbury

Coordinator

Virginia Beach, VA 23456

adyqfy@r.postjobfree.com

+1-757-***-****

To obtain a position with a company that values their employees, providing room for advancement and other job opportunities. I can bring to the table an abundant desire to obtain additional knowledge so that I may be an even more asset to my future employer. Authorized to work in the US for any employer

Work Experience

Lead Registrar

Bon Secours Health System DePaul Medical - Norfolk, VA January 2014 to April 2021

Verified demographics, by obtaining insurance cards, and patient identification. Responsibilities included scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently. Processed admission paperwork and basic insurance verification, ensuring accurate patient identity for hospital billing systems • Ability to answer internal and external calls in a friendly and helpful manner • I demonstrate the ability to troubleshoot and resolve problems promptly • Ensures patient flow is maintained and informed supervisor of any department and patient issues immediately • Coordinated and prioritized bed placement needs to ensure prompt and appropriate placement of patients • Other duties as assigned Patient Access Coordinator

Bon Secours Mercy Health - Norfolk, VA

August 2019 to March 2021

As Patient Access Coordinator, I was responsible for building meaningful relationships with hospital patients and provide the highest level of concierge service while assisting patients coordinate follow up care. It was my desire to serve as a compassionate guide and empathetic communicator with compassion to help improve patients’ lives every single day. I worked collaboratively onsite at our hospital emergency room, also supervised the front registration as well. Verifies insurance coverage prior to patient visit. Verified insurance benefits, coverage of ordered services and provides patient cost estimate. Worked with insurance companies to obtain the necessary prior authorizations for services prior to patient visit.

Maintains current knowledge of payer policies and requirements. Answers requests from patients, payers and other departments related to coverage of services and prior authorizations.

Serves as a resource to team members and other departments related to insurance benefits and prior authorizations and any patient concerns or complaints, elevating to the appropriate leadership. Actively participated in daily team huddles.

Maintained HIPAA compliance.

Other duties and projects as assigned

Insurance Verification Dept Lead.. Billing Specialist Apria Healthcare - Norfolk, VA

July 2007 to March 2013

Liaison between patient's and insurance companies. Obtained prior authorization for medical equipment. AP/AR duties, collected and posted pos transactions, orders and distribution of supplies. Worked in call center atmosphere, received inbound calls cell either new patients, existing patients, medical providers, insurance companies, entered all demographics into system, initiated the I take process for qualifying patients for durable medical equipment such as Continuous Airway Devices, and Oxygen dependent patients. Later I was advanced as the Lead Insurance Verification Specialist. In this position I was the department lead Rep. I worked closely with physicians' offices to qualify patients for respiratory equipment needed. This involved continuous communication with the patient's physician's office, insurance company and medical vendors.

MEDICAL MANAGEMENT/ AUTH DEPT.

Amerigroup Corporation - Virginia Beach, VA

1997 to 2004

Medical Management: Obtained medical information such as diagnosis, applying proper ICD-9 codes to ensure for correct billing from medical providers . I approved medical procedures by providing prior approval for medical diagnostics tests and other medica/l surgical procedures. Education

Ceritificate in Medical Assistant

KEES Business College - Norfolk, VA

1986 to 1987

Associate's degree in Early Childhood Education

Norfolk State University

1981 to 1984

Diploma in Early Childhood Education

Granby High School/ Norfolk Technical Vocational Ctr - Norfolk, VA 1978 to 1981

Skills

• Apply exceptional customer service skills while administering correct medical CPT/codes, Knowledge of medical terminology, Microsoft Office, Word,Excel, familiarity with several different swicthborad systems, work well under pressure, able to mutlitask with comfort. (10+ years)

• ICD-10

• Medical Records

• Hospital Experience

• Medical Office Experience

• Insurance Verification

• Medical Coding

• Medical Billing

• Medical Scheduling

• Epic

• EMR Systems

• Anatomy Knowledge

• Transcription

• Microsoft Excel

• Documentation review

• Microsoft Word

• Customer service

• Typing

• HIPAA

• Vital Signs

• ICD Coding

• ICD-9

• Microsoft Office

• Leadership

• Office manager experience

• Medical terminology

• Negotiation

• Cerner

• Sales

• Teaching

• Phone Etiquette

Assessments

Verbal Communication — Proficient

July 2020

Speaking clearly, correctly, and concisely

Full results: Proficient

Medical Billing — Proficient

July 2020

Understanding the procedures and forms used for medical billing. Full results: Proficient

Written Communication — Completed

July 2020

Best practices for writing, including grammar, style, clarity, and brevity. Full results: Completed

Cleaner fit — Proficient

December 2020

Measures the traits that are important for successful cleaners Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

Once license Insurance agent life/health. Worked at Independent Life Insurance Co. Now American General in Virginia Beach, Va. Also worked at Norfolk General Hospital from 7\1989- 6/1992, as nursing care partner.



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