Chelsea Pagel
Franklin
Summary
Dynamic Insurance Verification Specialist with extensive experience at Vanderbilt Integrated Providers, excelling in HIPAA compliance and insurance coverage verification. Recognized for enhancing claim processing efficiency and fostering patient trust through exceptional communication skills. Proficient in Epic Hyperspace and dedicated to maintaining patient confidentiality while managing high-volume verifications.
Experienced with insurance verification processes, ensuring accurate and timely handling of patient information. Utilizes strong analytical skills to identify and resolve discrepancies, maintaining seamless operational flow. Knowledge of industry regulations and best practices, contributing to overall efficiency and reduced claim rejections.
Overview
11
11
years of professional experience
Work History
Insurance Verification Specialist
Vanderbilt Integrated Providers
05.2018 - Current
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
Patient Service Representative
Vanderbilt Integrated Providers
05.2016 - 05.2018
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
Real Estate Office Receptionist
Century 21 Dawson & Associates
06.2014 - 10.2014
- Demonstrated strong multitasking skills by handling multiple phone lines while assisting walk-in clients simultaneously.
- Consistently provided exceptional customer service by addressing inquiries professionally and resolving issues efficiently.
- Increased office productivity by maintaining inventory of essential supplies and placing orders when needed.
- Contributed to a welcoming office environment through consistent upkeep of reception area cleanliness and organization.
Education
Associate of Applied Science - Medical Informatics
Columbia State Community College
Columbia, TN05-2024
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Data entry proficiency
- Communication and interpersonal skills
- Coverage and authorizations
- Electronic medical records
- Prior authorization processing
- Skilled in Epic Hyperspace
- Skilled in Microsoft Word, Excel, and Powerpoint
Timeline
Insurance Verification Specialist
Vanderbilt Integrated Providers
05.2018 - Current
Patient Service Representative
Vanderbilt Integrated Providers
05.2016 - 05.2018
Real Estate Office Receptionist
Century 21 Dawson & Associates
06.2014 - 10.2014
Associate of Applied Science - Medical Informatics
Columbia State Community College
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