Shenay Green
Hurlock
Summary
Experienced Insurance Verification Specialist with over 20 years in claims processing and medical billing. Specializes in data accuracy and customer relationship management, driving effective resolution of discrepancies and enhancing patient care.
Overview
21
21
years of professional experience
Work History
Insurance Verification Specialist
The surgery center of Easton
Easton
05.2005 - Current
- Managed incoming calls to provide timely assistance to patients.
- Verified patient insurance information for surgical procedures and services.
- Communicated effectively with patients regarding insurance coverage and requirements.
- Reviewed and interpreted insurance policies to determine eligibility for services.
- Assisted in resolving discrepancies between patient information and insurance data.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Contacted insurance companies to gather essential information on policies and payment benefits for patients.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Utilized multiple online systems to efficiently obtain necessary documentation.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Detected discrepancies in patients' insurance coverage or benefits, confirming accuracy of data entered into the system.
Medical Biller
The Surgery Center of Easton
Easton
05.2005 - Current
- Submitted electronic claims to various insurance carriers.
- Processed patient billing claims for surgical procedures efficiently.
- Collaborated with medical staff to resolve claim discrepancies promptly.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Maintained accurate records of patient accounts and transactions.
- Utilized billing software to track and manage claims submissions.
- Collected, posted and managed patient account payments.
- Applied HIPAA privacy and security regulations while handling patient information.
Education
Medical Office Assistant
Polytech Adult Education
Woodside, DE08-2003
High School Diploma -
Cambridge South Dorchester High School
Cambridge, MD05-1990
Skills
- Insurance verification
- Insurance benefits verification
- Eligibility determination
- Claims processing
- Medical billing
- Patient data management
- Data accuracy assurance
- Customer relationship management
- Attention to detail
Timeline
Insurance Verification Specialist
The surgery center of Easton
05.2005 - Current
Medical Biller
The Surgery Center of Easton
05.2005 - Current
Medical Office Assistant
Polytech Adult Education
High School Diploma -
Cambridge South Dorchester High School