Cassandra brooks
Aurora
Summary
Self-motivated insurance verification specialist proudly offering several years' experience building an understanding of medical terminology while tracking patient coverage. A poised professional with benefits explanation and administration expertise. Offering time management and interpersonal skills. Demonstrated knowledge of admissions, insurance verification and authorization processes in hospital and medical office settings. Skilled Insurance Verification Specialist with experience in verifying insurance coverage, understanding policies, and processing claims. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues.
Overview
20
20
years of professional experience
Work History
Pharmacy Technician
UCHealth University of Colorado Hospital
Aurora
08.2014 - 08.2025
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
- Reported any discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.
- Assisted pharmacists in compounding sterile products according to state regulations.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations.
- Managed filing of prescriptions, both electronically and manually.
- Received payment from customers and processed credit card transactions when necessary.
- Restocked shelves with new supplies of medications as needed.
- Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
- Verified accuracy of medication labels before they were dispensed to customers.
- Assisted pharmacists in filling prescriptions accurately and efficiently.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Monitored inventory levels of commonly used drugs and placed orders when necessary.
- Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.
- Assisted in training new employees on pharmacy procedures.
- Resolved customer complaints in a timely manner while maintaining professionalism at all times.
- Provided customer service to patients by answering questions about medications and health-related topics.
- Checked expiration dates on medications to ensure that only unexpired products were dispensed.
- Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review.
- Organized work areas so that everything was easily accessible when needed.
- Provided exceptional customer service, addressing patient questions and concerns with empathy.
- Received and verified daily incoming drug inventories, reported discrepancies, and logged items into inventory system.
- Maintained a clean and organized pharmacy workspace, adhering to safety and hygiene standards.
- Transmitted claims to insurance companies for payment and reconciled EOBs.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Prepared prescription transfers to other pharmacies.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Processed insurance claims and handled billing inquiries to ensure customer satisfaction.
- Monitored prescription refill requests and communicated with patients regarding their status.
- Cleaned and maintained equipment or work areas according to prescribed methods.
- Entered prescription information into computer databases.
Insurance Verification Specialist
UCHealth University of Colorado Hospital
Aurora
08.2018 - 02.2025
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Provided timely follow up with payers regarding payment status of claims.
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Participated in training sessions on new software programs used for verification purposes.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Evaluated policies and procedures related to Insurance Verification activities.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Resolved insurance-related issues and discrepancies to prevent claim denials.
- Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Developed and maintained professional relationships with insurance representatives.
- Liaised with insurance companies to obtain pre-authorizations for procedures and medications.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Utilized electronic medical records (EMR) systems for documenting verification processes.
- Assisted in training new staff on insurance verification procedures and best practices.
- Updated patient accounts with insurance verification information to ensure accurate billing.
Administrative Assistant
Commerce Bank
Aurora
08.2009 - 08.2014
- Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
- Managed incoming calls while providing information or transferring callers to appropriate personnel.
- Provided administrative support to the executive team, including scheduling meetings and managing calendars.
- Maintained office supplies inventory by checking stock to determine inventory level.
- Scheduled appointments between clients and customers and internal staff members.
- Handled confidential documents in an organized fashion according to established protocol.
- Answered questions from customers regarding products and services offered by the company.
- Facilitated communication between different departments within the organization.
- Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
- Developed and maintained filing systems for confidential documents and records.
- Ensured efficient operation of office equipment such as printers, copiers and fax machines.
- Processed invoices for payment using accounting software applications.
- Assisted with the planning of special events by arranging catering services, securing venues and ordering promotional materials.
- Greeted visitors and provided general information about the company.
- Managed office supplies inventory and placed orders when necessary.
- Managed daily office operations and maintained office supplies inventory, ensuring efficient workplace functionality.
Pharmacy Technician
Kaiser Permanente
Aurora
05.2005 - 05.2008
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
- Reported any discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.
- Assisted pharmacists in compounding sterile products according to state regulations.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations.
- Managed filing of prescriptions, both electronically and manually.
- Received payment from customers and processed credit card transactions when necessary.
- Verified accuracy of medication labels before they were dispensed to customers.
- Assisted pharmacists in filling prescriptions accurately and efficiently.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
Education
Some College (No Degree) - General Studies
University of Colorado At Boulder
Boulder, COSkills
- FDA compliance
- Drug safety
- Proper labeling
- Drug utilization review
- Billing support
- Insurance reconciliation
- Prior authorization process
- Medical terminology
- Insurance information oversight
- Data entry
- Private insurance
- Effective communication skills
- Retro-authorizations
- Insurance procedures
- Professionalism and ethics
- Insurance verification
- HIPAA compliance
- Healthcare regulations
- ICD-10 coding
- Benefit coverage
- Authorizations
- Utilization review experience
- Precertification requirements
- Scheduling
- Meeting planning
- Letter preparation
- Bookkeeping
- Typing proficiency
- Filing
- Verbal communication
- Strong interpersonal skills
- Operational processes
- Professional and mature
- Multi-line phone systems
- Staff management
- Writing reports
- Relationship building
- Customer relations
Affiliations
- positive attitude and outlook on even the most difficult situations
- self starter with creative ideas
- problem solver, always looking for solutions instead of focusing on the problem
- approachable, teachable, team player
- leader in church activities
- involvement in community
Accomplishments
- recognizing you awards in team building, training, and effective communication
- promoted to onboarding trainer
References
References available upon request.
Timeline
Insurance Verification Specialist
UCHealth University of Colorado Hospital
08.2018 - 02.2025
Pharmacy Technician
UCHealth University of Colorado Hospital
08.2014 - 08.2025
Administrative Assistant
Commerce Bank
08.2009 - 08.2014
Pharmacy Technician
Kaiser Permanente
05.2005 - 05.2008
Some College (No Degree) - General Studies
University of Colorado At Boulder
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