Insurance Verification of Benefits Specialist

Overview

Looking for full-time work (8 hours/day)

at $7.70/hour ($1,355.20/month)

Bachelors degree

Last Active

December 3rd, 2024 (today)

Member Since

October 21st, 2020

Profile Description

Hi, my name is Upgrade to see actual info you're Healthcare Virtual Assistant. I have six years of experience in effectively communicating with providers, patients, and insurance providers through inbound and outbound calls. Proficient and exemplary in various tasks such as verification of insurance benefits and eligibility, claims processing, patient scheduling, prior authorization, patient communication, referrals, and other administrative tasks.
I also worked with Dental clinic and Behavioral Health facility as insurance verification specialist for more than two years. I am fully knowledgeable with Commercial, Medicare and Medicaid plans. I am also familiar and exposed into different types of insurance portals. I also worked with Homecare agency as Medical Billing assistant and a scheduler of Nurses and Caregiver using Sandata, WhenIwork and Axxess apps and system. 
I have excellent attention to detail, and I can understand and follow instructions very well. I am also a person of integrity and takes care of relationships while providing quality work without compromising the quantity. I am resilient, resourceful and can work independently with minimal supervision and under pressure.
I also believe that learning is a lifelong process, and everything can be learn if the person is willing and intentional about it. I also believe that having a good character and being passionate in what you do is more important than experience. 
Skills include but are not limited to:
• Insurance Benefits and Eligibility Verification• Claims and Billing Specialist• Care coordinator• Scheduler• Data Entry/Encoding with 40wpm typing speed• Customer Service (Call handling & Email)• Proficient in Microsoft Office/Google Suite• Administrative Support• Time Management Skills• Organizational Skills• Attention to details• Cold Calling• Internet Research• Appointment Setting• Team Leader
Tools and sites previously used but not limited to:
• Open Dental• Sandata• Axxess• WellSky• Upgrade to see actual info• Kareo• WhenIwork• Mojo Dialer• Predictive Dialer• RingCentral• Skype• Zoom• Hangouts• Slack• Grasshopper• 8x8 Work and Virtual Office• Google suite• Microsoft Office• Call Care Browser• Solution Central• CS90• Bluesquared• BlueWeb• Open Dental• Splashtop Business
Responsible for:
• Review and process new claims reports.• Uphold relationships and communication with insurance departments and clients.• Organize and present claim review plans.• Negotiate settlements.• Resolve claims on time.• Stay up-to-date on local, state, and federal law changes in the insurance field.• Verifying patient benefits and eligibility• Submitting medical records or authorization numbers for reviews.• Clarifying claim denials• Checking provider’s participating status.• Analyze and investigate complicated insurance claims• HIPPA Compliance
I hope to work with you and learn from you.