Lisa Chanpheng
Westminster
Summary
Dynamic Insurance Verification Specialist with extensive experience at Southern Heart Clinic, adept at verifying patient eligibility and securing pre-authorizations. Skilled in HIPAA compliance and patient education, I excel in problem-solving and team training, ensuring seamless operations and enhancing patient satisfaction in a fast-paced environment.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist/Front and Back OfficeMedical Assistant
Southern Heart Clinic
Fountain Valley
07.2009 - 03.2025
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Arranged hospital admissions for patients as required.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Updated patient and insurance data and input changes into company computer system.
- Accessed third-party insurance databases to identify coverage of benefits.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Scheduled and confirmed patient appointments and consultations.
- Followed up on test results with appropriate action taken if needed.
- Prepared treatment rooms for patient examinations.
- Explained treatment procedures and physicians' instructions.
- Assisted with patient registration and paperwork, including verifying insurance coverage and collecting co-pays.
- Greeted patients upon arrival in the office and directed them to appropriate areas or persons.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Responded to patient callbacks and phone-in prescription refill requests.
- Answered incoming calls from patients and other medical personnel in a timely manner.
- Scheduled patient appointments, verified insurance information and maintained accurate records.
- Prepared exam rooms prior to patient visit by stocking supplies and ensuring cleanliness of space.
- Adhered to HIPAA regulations when handling confidential information.
- Performed administrative duties such as filing, faxing, copying, scanning and mailing of documents.
- Assisted physicians with minor procedures such as dressing changes or injections.
- Provided clerical support to the back office staff by completing forms, entering data into electronic health records system and maintaining logs and records of patient visits.
- Educated patients about medications, procedures and physician's instructions.
- Communicated with pharmacies for prescription refills on behalf of supervising physician.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Ensured compliance with federal and state regulations regarding insurance verification.
- Assisted back office patient processes to reduce office wait times.
- Managed back office duties such as patient check-in and check-out, rooming patients, taking vital signs and preparing charts for physician visits.
Education
Medical Assistant Diploma - Medical Assistant
American Career College
CA07-2009
Skills
- Insurance verification
- Patient education
- Data entry
- HIPAA compliance
- Electronic medical records
- Insurance eligibility
- Customer service
- Problem solving
- Team training
- Medical Procedures Understanding
- Verbal and written communication
- Office administration
- Adaptability and flexibility
- Co-payment collection
- Typing speed
- Problem-solving abilities
- Professionalism
- Outpatient procedures
- Prior authorization processing
- Basic life support for health care providers (BLS)
- Confidentiality
- Effective communication
- Time management
- Patient eligibility requirements
- Communication
Languages
English
Professional
Thai
Professional
Laotian
Professional
Certification
Medical Assistant Diploma
References
References available upon request.
Timeline
Insurance Verification Specialist/Front and Back OfficeMedical Assistant
Southern Heart Clinic
07.2009 - 03.2025
Medical Assistant Diploma - Medical Assistant
American Career College
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