Insurance Specialist

JUANITA DIAZ

OBJECTIVE:

Looking for an Insurance Specialist role where I can bring my 11 years of industry experience, along with my expertise in policy benefits and customer service, to support your company in achieving its goals.

WORK HISTORY

Strata Skin Sciences Insurance Specialist

Carlsbad, CA 11/2017 – Present

Responsibilities include assisting offices with insurance concerns pertaining to patient treatment, benefit authorizations, and procedural support. Facilitate a smooth transition between the offices, insurance companies, and patients. Maintain detailed records of client data and policy information. Also, retain close contact with territorial managers that oversee offices. Responsible that all insurance policies and procedures adhere to local, state, and federal regulations. Participate yearly in OSHA regulation training and maintain ethical standards.

East Ridge Staffing/Strata Skin Sciences Benefit/Reimbursement Specialist Carlsbad, CA 10/2014 – 11/2017

Responsible for customer outreach in order to conduct appropriate written, online, and follow- up of insurance plans relative to benefits, medical necessity, and prior approvals. Verify benefit eligibility and ensure accuracy of data, while complying with the obligations of the Health Insurance Portability and Accountability Act (HIPAA). Dermatology Specialists, Inc Medical Records Lead

Oceanside, CA 3/2005 – 12/2012

Assembled medical records in busy office setting, confirmed appointments, and handled medical requests from outside sources. Dealt with insurance companies, patient coverages, and insurance plans. Responsible for auditing preparation, and the removal of all stored medical records. Bilingual - translated Spanish to English for office staff, as needed. Communication & Skills:

EDUCATION: *Vista High School - Diploma *North County College – Word Processing Vista, CA Escondido, CA

E: *********@*****.***

C: 760-***-****

A: 1491 Puritan Way, Oceanside, CA 92057

• Team Player

• Work Independently

• 10-Key

• Data Entry

• Customer Service

• Bilingual – English/Spanish

• Detail Oriented

• Problem Solving

• Health Insurance Terminology

Contact this candidate