I have extensive experience in insurance verification, having worked in a healthcare setting for over three years. I am proficient in navigating various insurance portals to confirm coverage, benefits, and eligibility. My role involved ensuring that all patient information was up-to-date and that pre-authorizations were obtained in a timely manner to avoid any delays in treatment.

When faced with discrepancies, I first review the insurance guidelines thoroughly to understand the issue. I then communicate directly with the insurance companies to clarify any doubts and negotiate if necessary. My approach is to maintain a professional demeanor and provide clear, concise information to expedite the resolution.

In my previous role, I utilized a variety of tools and software including Epic Systems, Availity, and RelayHealth. These platforms were essential for accessing patient insurance information, submitting pre-authorizations, and tracking the status of claims. I am adept at leveraging these tools to streamline the verification and authorization process.

I prioritize tasks based on urgency and the potential impact on patient care. I use a task management system to organize and track my work, ensuring that time-sensitive verifications are addressed first. Regular communication with the care team helps me stay updated on any changes or immediate needs.

I once encountered a case where a patient's insurance was unexpectedly terminated. I immediately contacted the insurance company to verify the details and discovered a clerical error. I provided the necessary documentation to correct the error and successfully reinstated the coverage, ensuring the patient received uninterrupted care.