IAN MARIE ORACION
Insurance Eligibility Specialist
- |-
PROFILE
Results-driven Insurance Eligibility Specialist with 3+ years of experience in healthcare
revenue cycle management at Pro Network LLC. Experienced in verifying insurance
benefits, reducing claim denials, and ensuring accurate patient coverage information
before services are rendered. Known for strong attention to detail, fast payer portal
navigation,
and
maintaining
high
productivity
in
high-volume
healthcare
environments. Proven ability to support billing teams and improve reimbursement
accuracy.
WORK EXPERIENCE
INSURANCE ELIGIBILITY SPECIALIST
Pro Network LLC
January 2022 - December 2025
Verified patient insurance eligibility, benefits, and coverage details through payer
portals, clearinghouses, and insurance representatives.
Updated
patient
demographic
and
insurance
data
in
EMR/EHR
systems,
maintaining high data accuracy.
Collaborated with billing, scheduling, and provider teams to resolve insurance
discrepancies prior to claim submission.
Maintained strict HIPAA compliance when handling patient health and insurance
information
Maintained 95% accuracy rate in eligibility verification.
Contributed to faster claim processing and improved reimbursement turnaround.
Consistently exceeded daily productivity targets for insurance verification tasks.
TECHNICAL SKILLS
PROFESSIONAL STRENGTHS
EMR / EHR Systems
Strong analytical and problem-solving
Microsoft Office (Excel, Word, Outlook)
skills
Insurance Verification Platforms
High attention to detail and data
Prior Authorizations
accuracy
Healthcare Billing Systems
Ability to work in fast-paced healthcare
Payer Websites & Portals
environments
Effective communication with internal
teams and insurance representatives