AMBER BORGMAN
CAREPATH RX
Irmo
6
years of professional experience
Results-driven Insurance Verification Specialist with a strong focus on patient confidentiality and accurate insurance verification. Proven ability to streamline verification workflows and improve patient communication, ensuring timely and accurate processing of insurance benefits.
Work History
Insurance Verification Specialist
1 Year 9 Months- Maintained up-to-date knowledge of insurance policies and regulations to support compliance efforts.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Developed standard operating procedures to enhance efficiency in the verification workflow.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Pricing drugs that MD orders for a patient.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Assisted patients with understanding personalized insurance coverage and benefits.
Insurance Verification Specialist
3 Years 9 Months- Conducted thorough insurance verifications to ensure accurate patient data and eligibility.
- Streamlined processes for checking insurance coverage, reducing turnaround time for approvals.
- Collaborated with healthcare providers to resolve discrepancies in patient insurance information.
- Utilized electronic medical record systems to document verification findings and updates.
Education
High School Diploma
Skills
Coverage verification
Eligibility assessment
Authorization processing
Claims processing
Coverage authorizations
Data review
Data entry proficiency
Data entry
Data verification
Patient outreach
Patient confidentiality
Medical terminology
Patient communication
Patient contact
Client relations
Documentation management
Inquiry management
Attention to detail
Timeline
Insurance Verification Specialist
CAREPATH RX
11.2024 - CurrentRead More
Insurance Verification Specialist
Palmetto Infusion Services
12.2020 - 09.2024Read More
DREHER HIGH SCHOOL
High School Diploma
Read More