Open To Work
KHADIJAH CLIFTON
Little Rock
Work Preference
Summary
Detail-oriented Insurance Verification Specialist with over 8 years of experience in prior authorization, claims processing, and revenue cycle management. Skilled in verifying insurance policy benefits and ensuring accurate documentation compliance while adhering to regulations. Proficient in Epic EMR and managing high-volume accounts in remote healthcare environments, effectively supporting financial outcomes for clients.
Overview
3
3
years of post-secondary education
8
8
years of professional experience
Work History
Insurance Specialist
Meduit
06.2024 - Current
- Resolved insurance claims, payment delays, and reimbursement issues for high-volume accounts.
- Communicated effectively with insurance representatives to resolve claim issues and obtain payment.
- Investigated denied, rejected, and underpaid claims, ensuring accurate reimbursements.
Authorization Specialist / Benefits Verification Specialist
UAMS Medical Center
09.2018 - 06.2024
- Verified insurance eligibility, benefits, deductibles, copays, and prior authorization requirements.
- Analyzed payer guidelines and medical necessity criteria to ensure compliance with CPT, ICD-10, and HCPCS standards.
- Facilitated resolution of coverage issues by coordinating communication among providers, patients, and insurance companies.
Education
High School Diploma - General Studies
Central High School
Little Rock, AR 08.2009 - 05.2012
Skills
- Insurance verification
- Documentation compliance
- Benefits investigation
- Attention to detail
- Data entry and management
- Eligibility verification
- Prior authorization management
- Claims processing
- Payer communication
- Medical necessity compliance
- Problem-solving
Timeline
Insurance Specialist
Meduit
06.2024 - Current
Authorization Specialist / Benefits Verification Specialist
UAMS Medical Center
09.2018 - 06.2024
High School Diploma - General Studies
Central High School
08.2009 - 05.2012