Insurance Verification/Intake Prep
Fort Worth, TX
Pay requirement: 17.00/hr
To obtain a position as an Insurance Verifier at a reputable company that will allow me to utilize my skills and that encourages their employees by promoting growth within the company.
Willing to relocate to: Arlington, TX – Mid-Cities – Grand (88)
Authorized to work in the US for any employer
October 2017 to Present
Aerotek is a staffing agency that contracted me with Prime Therapeutics, a mail order specialty pharmacy that is affiliated with Walgreens Co. At Prime, I perform intake prep, insurance verification, process claims, assign/unassign insurance for submit of test claim. Verify active/termed insurance coverage and copay assistance. Correspond with pharmacists when claim rejects for quantity, day supply, dosing details, etc. Verify additional/missing information with the patient’s doctors office and/or the patient for accurate claim information. Insert the valid ICD-10 code to a claim per the doctor’s office, for insurance compliance. Initiate prior authorizations, check the status of prior authorizations and apply the prior auth’s to the claim after their approval. Submit claims to a NOGO team, accordingly to claim stage or patient’s change in benefited pharmacy. Forward claims to patient financial services, Rph, General Therapy, etc when necessary.
Patient Intake Representative
October 2016 to July 2017
At LabCorp, I Collected payments and managed accurate financial records for agency and clients. Managed phone lines and answer calls regarding the intake of patients for services. Processed all pertinent paperwork on new clients in a timely manner and in accordance to protocol. Obtained all necessary clinical information to tailor client’s profile according to their needs. Verified patient eligibility/insurance and resolved any issues at hand. Maintained strictest confidentiality; adhered to all HIPAA guidelines/regulations. Made electronic cash/check deposits via DTS. Maintained room temperature, deposits and sign in logs. Provided stellar customer service. Held responsibility for documentation, files and database entry; as well as established and maintained case files, resulting in successful audit compliances. Conduct basic IT troubleshooting.
Customer Service Representative
January 2016 to July 2016
Luxor is a staffing agency that provides temporary jobs to different logistic companies in the metro-plex. Here, I was assigned as a Customer Service Rep for CSC Sugar LLC in Fort Worth, which distributed sucrose to many companies like Coca Cola, Borden, Pepsi, Del Sol Foods, Oak Farms and more. I was responsible for greeting visitors/future customer’s at the front desk; making sure they are signed in and if they are given a tour of the plant, I supply them with the required safety gear to enter the plant. I was also responsible for scheduling all the order’s requested by these companies in our company’s data base system and emailing the schedule each day to corporate, warehouse manager’s, delivery drivers and the plant managers. I also assisted in monitoring load orders for the day, week and month so that I can report the numbers to the general manager for our monthly newsletter and KPI meetings. Sending invoices to accounts payable for approval was also something that I was responsible for, as well as answering customer concerns and questions about delivery times/days or an estimated time of arrival for their load. I answered a multi phone line system and operated mobile radio systems to communicate with warehouse and managers. With all of these responsibilities, I also was over the truck drivers. I made sure they left in time to get the orders delivered at the requested time, as well as report to them any changes made to the schedule. In all, this assignment required flexibility, multi tasking, effective communicating, attention to detail and punctuality.
July 2007 to November 2013
At Texas Health Arlington Memorial I was responsible for answering, screening and directing inbound phone calls, receive and assist customers and escort or forward them to correct destinations; offices, rooms or meeting rooms. Perform general secretarial duties, including – meeting scheduling, appointment set up, faxing and mailing, assist Human Resources, Outcomes Management and/or Public Relations with important, time sensitive projects in regard to upcoming meetings/events. Take verbal and written messages and transmit them to exact person/destination, receive and sort email and electronic deliveries, maintain meeting diary – manually or electronically, as required. Accept letters and packages delivered to the front desk and distributed to appropriate staff and handle general requests for information and data. Handle delicate situations, such as – customer requests, special needs and complaints. Performed basic customer service functions, coordinate maintenance of the front desk reception area equipment, furniture, lighting, applications and brochures and maintain a neat, tidy and pleasant appearance of the reception area.
Microsoft Office (7 years), Microsoft Word (10+ years), Microsoft Excel, Microsoft Excel (7 years), Microsoft
Outlook (7 years), Typing 70 Wpm (7 years), Problem Solving (7 years), Public Speaking (10+ years),
Customer Service Skills (10+ years)
● MS Word
● MS Excel
● Typing skill of 70wpm
● Excellent spelling and grammar skills
● Database management