Data Entry Insurance Verification

Professional Summary

Skills

Experience

Tiffany Watson

702-***-**** **************@*****.*** Henderson, NV

• Health education • Nutrition • Planning and development

• Managing patient records • Medical terminology • Follow-up skills

• Claims/Medical Billing • Data entry knowledge • Excellent communication skills

• Deadline driven • Critical thinker • Attention to detail

• Organized • Coaching and mentoring • Customer-service oriented

• Salesforce • Epic • Microsoft Excel

• Microsoft PowerPoint • Microsoft Outlook • Insurance verification

• Telephone reception • Customer support • Revenue generation

• Team collaboration • Adaptability and flexibility • Records management

• Customer relations • Goal-oriented mindset • Time management

• Decision-making • Organizational skills • Problem-solving abilities

• Idea development and brainstorming • Professionalism • Reliability

• Interpersonal communication • Analytical thinking • Self motivation

• Team leadership

Engagement Center Representative- Remote August 2023 - September 2024 Advocate Aurora Health, Chicago, Illinois

• Conducted thorough research to provide customers with accurate information.

• Demonstrated exceptional communication skills while interacting with diverse clientele. Collected health information, completing patient registration forms and basic insurance verification. Collected co-pays

,deductibles, updated information as necessary.

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• Resolved insurance and payment issues by liaising between billing department and patients.

• Verified client insurance information and determined coverage needs.

• Scheduled patient appointments & procedures. Coordinated cancellations & reschedules. Identified emergent calls. Followed protocols relating to nurse triage procedures. Developed competence in guidelines for emergent situations & critical call handling.

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Determined level of care needed by patients via busy call center. Routed patients for triage, scheduling, submitted & collaborated with pharmacies for refill requests. Paged providers, collaborated with hospital staff.

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• Provided referrals to outside health providers by obtaining necessary information, demographics and insurance information. Unbilled Representative June 2020 - October 2022

CVS Health, Remote

• Supported the branch in multiple aspects: including pharmacy, nursing, warehouse, clinical support & sales.

• Assisted with authorization, insurance verification & medical claims processes.

• Confirmed & tracked Medicare documentation to ensure smooth delivery of services.

• Ensured all patient information was collected & documented on appropriate Medicare forms. Created/generated/Distributed statements of medical necessity for patients and obtained signatures from physicians for Medicare claims submissions

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• Traced missing patient Medicare documents via excel spreadsheet.

• Confirmed patient medical claims were set up & paid correctly.

• Supported business operations by preparing and processing Medicare.

• Followed up with customers to ensure satisfaction and gather feedback.

• Maintained accurate records of customer interactions in database.

• Answered customer inquiries promptly and professionally.

• Collaborated with team members to achieve monthly sales targets.

• Developed strong, ongoing relationships with prospects and customers. File Room Clerk/Administrative Asst. January 2019 - June 2020 Coram CVS Specialty Infusion, Henderson, NV

• Re-Organized & developed Corams entire medical records department mostly with solo effort.

• Developed and tackled a system of organization for old medical record files.

• Was recognized for the entire organization of old prior year medical files.

• Processed medical record requests in a timely manner.

• Assisted other departments as needed (admissions, reception) Conducted review of denied claims reports by researching & gathering necessary patient & clinical information which resulted in revenue collection.

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Front Office Receptionist June 2016 - April 2017

Kansas City Obgyn, Overland Park, Kansas

• Answered incoming calls, directed them to appropriate personnel, and took messages.

• Greeted visitors and provided general information about organization.

• Organized incoming and outgoing correspondence.

• Managed mail, packages and courier deliveries in and out of office.

• Scheduled new patient snd follow up OB appointments and procedures.

• Effectively handled patient check in & check out procedures.

• Verification of insurance coverage. Collaborated with billing team to inform patients of deductibles and copay amounts.

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Telephonic Health Coach November 2015 - December 2016 ASSET HEALTH, Remote

Proactively reached out to program participants through telephonic health coaching sessions; maintained confidentiality in accordance with HIPPA; developed a high level of trust with clients; strategizing, encouraging, motivating and inspiring clients

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toward healthy lifestyle change/diet

Reviewed biometric health assessment results with client; coached/problem solved in order to address specific lifestyle health goals; utilized health education materials; acquired knowledge of chronic diseases & lifestyle habits; tobacco cessation, weight loss, stress management

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Utilized S.M.A.R.T goals and other motivational interviewing strategies, recommended nutrition/fitness modifications in order to improve overall health of client

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Medical Office Receptionist December 2013 - February 2016 Rowe Neurology, Lenexa, Kansas

• Classified patient information correctly for billing and medical staff.

• Photocopied, faxed, and filed patients records practicing confidentiality measures.

• Gathered information from patients, processed registration paperwork and collected payments.

• Protected patient data through strict compliance with HIPAA requirements.

• Entered updated information in patient account pages and charts.

• Informed medical assistants regarding arrival and delays of patients to maintain smooth flow of schedule.

• Scheduled appointments, lab tests, and procedures for patients.

• Answered basic questions and provided information to patients and family members.

• Printed patient forms and reviewed charts to prepare for upcoming appointments.

• Verified patients' insurance coverage and followed up on missing and incorrect information to help streamline billing.

• Reconciled co-payment charges and maintained accurate records.

• Greeted patients and visitors upon arrival, providing welcoming environment.

• Updated patient information in electronic health records system.

• Managed front desk operations during busy clinic hours efficiently.

• Coordinated referrals to specialists and other healthcare providers as necessary.

• Verified insurance coverage and collected co-payments from patients.

• Filed paperwork and organized charts for easy accessibility by medical staff.

• Confirmed upcoming appointments with patients via phone or email reminders.

• Assisted with check-in procedures, including taking vital signs when needed.

• Scheduled appointments for patients using medical office software.

• Answered telephone calls promptly, directing them to appropriate staff members.

• Completed check-in and check-out procedures, including verifying insurance and collecting co-pays.

• Obtained authorizations for services and filed authorizations in patients' records.

• Helped patients with concerns by leveraging knowledge of medical and office procedures.

• Updated patient medical records with direct intake information and transcribed practitioner messages.

• Greeted visitors and communicated to assess needs and provide direction.

• Greeted patients and visitors to determine needs and direct accordingly.

• Checked patients in and out of appointments.

• Scheduled patient appointments in EMR system.

• Scheduled and participated in staff meetings to discuss development for providing quality service. Education

Website, Portfolio And Profiles

• Collected patient copays and balances.

• Obtained payments directly from patients or through insurance reimbursement by completing and filing forms.

• Managed registration desk by answering telephones and transferring calls to designated department.

• Maintained privacy and confidentiality of patients in compliance with policies and regulations.

• Processed FMLA & disability forms.

Call Center Supervisor August 2013 - December 2013 Kansas City Internal Medicine, Kansas City, Missouri

• Conducted regular performance reviews and provided feedback to improve agent performance.

• Provided backup support by taking calls during high-volume periods or when staffing levels were low due to absences or attrition.

• Acted as liaison between call center team and other departments within organization. Medical Office Receptionist May 2012 - August 2013 Midwestern Endocrinology, Overland Park, Kansas

• Answered basic questions and provided information to patients and family members.

• Scheduled appointments, lab tests, and procedures for patients.

• Gathered information from patients, processed registration paperwork and collected payments.

• Converted paper charts to upload to EMR system prior to merge with Kansas City Internal Medicine. Bachelor of Science- Healthcare Management : Healthcare Management - National American University Master of Arts (M.A.) Wellness and Lifestyle Management - Rowan University, Glassboro, New Jersey December 2015 High School - Pittsburg High School, Pittsburg, Kansas May 2000 https://www.linkedin.com/in/tiffany-watson-9830b341/

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