Niema Fields
Hanover
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
25
25
years of professional experience
Work History
Insurance Verification Specialist
INOVA FAIRFAX Hospital
Fairfax
03.2001 - Current
- Verified patient insurance eligibility and benefits for scheduled procedures.
- Communicated with insurance companies to resolve coverage inquiries and discrepancies.
- Maintained accurate records of insurance verifications and patient information.
- Collaborated with healthcare providers to ensure timely authorization processes.
- Educated patients about their insurance options and financial responsibilities.
- Managed sensitive patient information in compliance with HIPAA regulations
- Updated patient and insurance data and input changes into company computer system.
- Navigated through multiple online systems to obtain documentation.
- Accessed third-party insurance databases to identify coverage of benefits.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
Education
Woodstock JCC
Woodstock , MDSkills
- Insurance verification
- Claims processing
- Claims auditing
- HIPAA compliance
- Policy interpretation
- Data entry accuracy
- Detail orientation
- Problem solving
- Time management
- Effective communication
- Client interaction
References
References available upon request.
Timeline
Insurance Verification Specialist
INOVA FAIRFAX Hospital
03.2001 - Current
Woodstock JCC