As an Insurance Verification Specialist, I bring strong expertise in verifying patient eligibility, reviewing coverage details, and processing prior authorizations. I’m proficient in interpreting deductibles, copays, coinsurance, and out-of-pocket requirements across commercial plans, HMOs, PPOs, Medicare, and Medicaid. My background includes using payer portals, EHR/EMR systems, and billing platforms to ensure accurate documentation and smooth claims processing.
I’m known for clear communication, especially when explaining benefits and financial responsibilities to patients and providers. With a detail-oriented and analytical approach, I excel at identifying discrepancies, resolving issues, and ensuring compliance with insurance policies. I’m reliable, organized, proactive in follow-ups, and committed to delivering accurate, timely verification to support patient care and revenue cycle efficiency.