Verified insurance eligibility and benefits for patient accounts, ensuring accurate information for billing processes.
Collaborated with healthcare providers to resolve discrepancies in insurance claims and authorizations.
Utilized electronic health record systems to document verification status and maintain accurate patient records.
Assisted in training new team members on insurance verification procedures and compliance standards.
Developed resources and guidelines for staff to enhance understanding of complex insurance terminology and processes.
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Achieved insurance pre-authorizations to enable timely patient procedures.
Accessed all patient information on EPIC.
Customer Service Representative, and Patient Account Representative
NovaCare Rehabilitation Billing Office
Canonsburg, PA
10.2023 - 12.2025
Assists customers with payments over the phone as well as refunds or any voids if necessary.
Resolve any issues for patients accounts as well as other departments.
Work Correspondence to help the insurances get the information they need.
Assist patients with their medical billing.
Processed patient account inquiries efficiently, ensuring accurate information dissemination.
Resolved billing discrepancies through diligent research and communication with insurance providers.
Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
Collaborated with healthcare teams to streamline account management processes, enhancing overall efficiency.
Educated patients on their financial responsibilities, improving understanding of billing procedures.
Assisted in training new representatives on software systems and best practices for account management.
Posted payments and processed refunds.
Worked with outside entities to resolve issues with billing, claims, and payments.
Education
Bachelor of Science - Health Administration
University Of Phoenix
Phoenix, AZ
High School Diploma -
Canon Mcmillan High School
Canonsburg, PA
01.2022
Skills
Achieved high customer satisfaction ratings through effective problem resolution Enhanced service delivery by streamlining communication processes Fostered positive relationships with customers to drive repeat business
Demonstrated proficiency in Microsoft Office 365 tools to facilitate efficient document creation and data analysis
Cultivated a nurturing environment to foster trust and open communication
Implemented systematic organization strategies to improve workflow and productivity
Achieved improved client satisfaction by delivering personalized care and support Enhanced community engagement through effective communication and outreach efforts Drove positive outcomes by implementing tailored assistance programs
Interpreted and implemented medical terminology to ensure precise understanding in healthcare settings
Timeline
Insurance Verification Specialist
OrthoAtlanta
12.2025 - Current
Customer Service Representative, and Patient Account Representative