Referrals Specialist at DUPAGE MEDICAL GROUP & BONCURA (2019-03 – 2019-07)
Full-time/Temp – Medix Staffing Services
- Received and documented telephone and electronic requests for referrals from Primary Care Physicians, Specialists, and Ancillary providers
- Verified member eligibility and basic benefit coverage levels including obtaining information regarding the coordination of benefits and third-party liability
- Performed data entry and processing of referral requests using the EPIC system including editing referral notes
- Contacted review organizations and insurance companies to obtain prior approval requirements and submitted documentation to appropriate personnel
Insurance Benefits Verification Representative at FERTILITY CENTERS OF ILLINOIS (2017-02 – 2019-03)
- Supported and participated in the overall functions of the Revenue Cycle Division of the Central Billing Office
- Performed insurance benefits verification and payer authorization in accordance with departmental policies
- Served as insurance benefits resource to financial coordinator and medical office staff during treatment including primary point of contact when escalated requests occurred during the verification process
- Maintained confidentiality of patient information per HIPPA requirements, and complied with external healthcare industry policies and procedures including government, insurance, and third-party payer regulations
Insurance Verification Specialist at ATI PHYSICAL THERAPY (2011-05 – 2017-02)
- Accountable for verification of physical therapy medical insurance across multiple carriers for the Midwest and South Regions utilizing direct telephone contacts and on-line sites
- Accurately set-up patient's physical therapy account including contact and billing information, in-network and out-of-network benefits, and effective policy end dates utilizing Insync and RTK on-line systems
- Consistently met or exceeded department goal of completing over 30 accounts per day
- Coordinated benefit information and resolution of account issues with specific regional offices
Documentation Specialist at CCS MEDICAL (2007-12 – 2011-02)
- Reviewed and verified that all required medical documentation and patient accounts were consistent and accurately completed to ensure timely processing and billing of services
- Utilized expert customer service and conflict resolution skills in managing a high volume of direct telephone contacts with patients and physicians regarding shipment of supplies, account information, and resolution of issues
Proof of Delivery Representative at OMNICARE MEDICAL SUPPLY COMPANY (2007-04 – 2007-10)
- Coordinated with both the billing and customer service departments to ensure accurate billing for services by conducting billing statement verification, proofreading, correcting errors, and troubleshooting issues
- Established new documentation filing system
Client – NALCO at Kelly Services (2006 – 2007)
Staffing Agency Employment
Clients included Petcare, Neuman Homes, and Nicor Home Energy at Venturi Staffing (2005 – 2007)
Staffing Agency Employment
Client – The Hartford Insurance Company at Professional Staffing (2006 – 2006)
Staffing Agency Employment
Client – Travelers Insurance Company at Manpower (2004 – 2006)
Staffing Agency Employment
