Insurance Verification Specialist

O ohJACALYN RAY

PROFESSIONAL SUMMARY

Highly trained professional with a background in verifying

insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

CONTACT

Address: Conyers, GA 30013 Phone: 404-***-****

Email: ***************@*****.***

WORK HISTORY

Insurance Verification Specialist, 09/1983 to 01/1998 Emory Clinic Plastic Surgery Department - Atlanta, GA

• Reviewed 250 patient cases per week and verified insurance coverage information.

• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

• Assured timely verification of insurance benefits prior to patient procedures or appointments.

• Accurately inputted all patient and insurance information into the company's computer system.

• Made contact with insurance carriers to discuss policies and individual patient benefits.

• Observed strict procedures to protect sensitive patient information, including medical records and payment data.

• Maintained strong knowledge of basic medical terminology to better understand services and procedures.

• Determined appropriateness of payers to protect

organization and minimize risk.

• Verified client information by analyzing existing evidence on file. • Posted payments to accounts and maintained records. • Processed 250 invoices each in a weekly timeframe and mailed documentation to clients.

• Worked to maintain an outstanding attendance record, consistently arriving to work ready to start immediately.

• Maintained excellent attendance record, consistently arriving to work on time.

Tax Preparer Administrator, 01/2003 to 01/2008

• Handling sensitive and confidential information properly

• Performing clerical duties

• Prepare reports and financial documentation

• Assist tax preparers review and file customers’ tax returns

• Basic understanding of the tax laws and regulations

• Assure filling completion per client folder by gathering clients and CPA approval signature, tax form printouts and documentation backup scans

• Organize and manage all tax reports, statements and documents relating to clients.

•.Ability to use tax software programs

• Customer service skills

• High attention to detail and excellent organization skills

• Excellent in communication verbally and written

• Proficient in mathematical skills, Microsoft Word, and Excel EDUCATION

Associate of Arts, Business Management

Savannah State University - Savannah, GA

SKILLS

• Patient contact

• Understanding of medical terms • Collaborative

relationships • Prior authorization processing • Insurance coverage verification • Proficient in Microsoft Office • Data integrity

• Project organization

• Relationship development • Communications

• Problem resolution

• Case Management

• Patient consultation

• Completing Insurance Forms • Medical Billing and Coding

• Efficient and reliable team player • Electronic health records • Patient Management

• Account management

• Compassionate

• Payment collection

• Patient Scheduling

• Office administration

• Process optimization

• Spreadsheet management • Appointment Scheduling

• Patient Charting

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