Tessa Jackson
Insurance Verification Specialist I
Tullahoma
Summary
Detail-oriented and analytical Insurance Verification Specialist with 1.5 years of experience in the healthcare industry. Proficient in verifying insurance information, supporting revenue cycle management, and creating payors for efficient billing operations. Recognized for exceptional accuracy, problem-solving skills, and adaptability in fast-paced environments. Excited to leverage expertise in an analytical role to contribute to the success of a dynamic organization.
Overview
10
10
years of professional experience
5
5
years of post-secondary education
1
1
Language
Work History
Insurance Verification Specialist I
Natera
07.2023 - Current
- Led the creation of payors for revenue cycle management, driving billing system optimization and enhancing operational efficiency in processes
- Proficient in verifying patient insurance eligibility and benefits across Medicare, Medicaid, and Commercial carriers to ensure accurate claims processing
- Ensured regulatory compliance by maintaining a comprehensive understanding of HIPAA, insurance policies, and billing regulations in all processes
- Coordinated projects involving payor setup and IPA creation, conducting thorough research and ensuring timely implementation for optimizing revenue flow
- Demonstrated a strong ability to analyze billing and claims data, ensuring accuracy and reducing claim denials
- Support billing and coding teams by providing accurate insurance verification details to facilitate proper claim submissions, enhancing overall claim processing efficiency
- Coordinated with insurance companies to resolve discrepancies in coverage information and address any billing issues, ensuring smooth communication and quicker resolutions
- Updated patient records with accurate, current insurance policy information.
- Trained new staff on current, correct insurance verification procedures.
- Optimized use of insurance verification software, leading to faster processing times.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
Department Manager
McDonald's
03.2015 - 10.2023
- Improved customer satisfaction rates through attentive service, prompt issue resolution, and continuous process improvements.
- Provided ongoing staff development opportunities through training programs, workshops, and regular feedback sessions.
- Oversaw inventory management processes, maintaining optimal stock levels while minimizing waste and losses due to shrinkage or obsolescence.
- Led a team of professionals to consistently achieve or exceed performance targets.
- Maintained a professional work environment by addressing conflicts proactively and fostering open communication among staff members.
- Increased applicant quality by streamlining the hiring process and implementing a pre-screening system.
- Oriented newly hired employees by providing company information, facilitating onboarding processes and establishing position-related requirements.
- Trained new employees and delegated daily tasks and responsibilities.
- Collaborated with other shift leaders to maintain consistent standards across all shifts, promoting a cohesive workplace culture.
- Served as a reliable point-of-contact for upper management when needed, effectively communicating any issues or successes from daily operations.
Education
HS Diploma -
RHS
01.2012 - 12.2016
Skills
- Project Management
- Analytical Skills
- Time Management
- Insurance Verification
- Electronic Health Records (EHR)
- Critical Thinking
- Microsoft Office (Word, Excel, Sheets)
- Data Entry Proficiency
- Claims Processing
- Teamwork
Timeline
Insurance Verification Specialist I
Natera
07.2023 - Current
Department Manager
McDonald's
03.2015 - 10.2023
HS Diploma -
RHS
01.2012 - 12.2016
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