Taelor Hightower
McDonough
Summary
Detail-focused Insurance Verification Specialist recognized for high productivity and efficient task completion. Specialize in insurance policy verification, claim processing accuracy, and patient data confidentiality management. Excel in communication, problem-solving, and time management to ensure seamless operations within healthcare settings.
Overview
4
4
years of professional experience
Work History
Insurance Verification Specialist
Children's Healthcare of Atlanta
02.2022 - 05.2025
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Monitored changes in government regulations affecting healthcare reimbursement systems.
- Evaluated policies and procedures related to Insurance Verification activities.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Assisted in training new staff on insurance verification procedures and best practices.
Patient Access Manager
Emory Healthcare
01.2021 - 09.2024
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Responded to patient inquiries regarding billing or financial matters.
- Collaborated with other departments to ensure quality customer service was delivered.
- Managed incoming faxes related to patient registration processes.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Applied HIPAA privacy and security regulations while handling patient information.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
- Trained and mentored new employees in registration department, answered questions and provided insight on patient services.
Education
Associate of Science - Surgical Technology
Southern Crescent Technical College
McDonough, GA05-2027
High School Diploma -
Penn Foster High School
Scranton, PA08-2020
Skills
- Insurance benefits verification
- Claims processing
- Data security and confidentiality
- Follow-up procedures
- Documentation and correspondence
- Medicaid
- Medicare
- HIPAA compliance
- Critical thinking
- Active listening
- Customer service
- Interpersonal communication
- Attention to detail
- Computer Literacy
- Time Management
- Epic
- EMR
- 55 WPM TYPING SPEED
- Microsoft Office
- Microsoft Word
Timeline
Insurance Verification Specialist
Children's Healthcare of Atlanta
02.2022 - 05.2025
Patient Access Manager
Emory Healthcare
01.2021 - 09.2024
Associate of Science - Surgical Technology
Southern Crescent Technical College
High School Diploma -
Penn Foster High School
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