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Health Insurance Specialist Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Hardworking individual with 7 years of successful experience in medical insurance verifications. Recognized consistently for performance excellence and contributions to success in the healthcare industry. Seeking a position that will allow me to assist in reaching the goals of your company while gaining experience as a healthcare professional.

Skills
  • Administrative Functions
  • Insurance Customization
  • Form Completion and Submission
  • Policy Changes
  • Insurance Coverage Verification
  • Insurance Eligibility
  • Call Center Customer Service
Work History
Health Insurance Specialist, 11/2017 to 11/2020
Oak Street Health Inc. Downers Grove, IL,
  • Registered new patients into Portal and updated any information to pre existing patient accounts.
  • Checked patients in, verified personal information, collected copays and deductibles, checked patients out, made follow up appointments
  • Verified patient insurance policies as well as eligibility dates, break downs of copays and co-insurances while making sure plan was accepted by physician
  • Made copies, faxed and scanned documents into portal or other locations
  • Converted paper charts and created an EMR account
  • Prepared Charts for future appointment dates
  • Opened and closed clinic according to Clinic policy
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
  • Helped patients complete necessary medical forms and documentation sometimes in Arabic
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
  • Transcribed phone messages and relayed to appropriate personnel.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
Front Desk Receptionist, 12/2016 to 09/2017
Concord Hospitality Wauwatosa, WI,
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Kept reception area clean and neat to give patients positive first impression.
  • Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
  • Offered every patient professional and prompt service, completing check-ins, verifying paperwork and coordinating smooth hand-offs to nursing staff.
  • Trained new staff on correct procedures, compliance requirements and performance strategies.
  • Ran daily reports detailing account expenses for daily clinic
Front Desk Medical Receptionist, 03/2013 to 02/2015
Trinity Health Corporation Fresno, CA,
  • Completed clerical duties and tasks for clinic administration.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
  • Helped patients complete necessary medical forms and documentation.
  • Checked patient data including insurance, demographic and health history to keep information current.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Completed patient referrals to other medical specialists.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
  • Supported office staff and operational requirements with administrative tasks.
  • Responded to correspondence from insurance companies to verify patient's coverage.
  • Transcribed phone messages and relayed to appropriate personnel.
  • Sanitized, restocked and organized exam rooms and medical equipment.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
  • Obtained client medical history, including medication information, symptoms and allergies.
  • Tested and recorded blood glucose levels.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes.
  • Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
Education
Associate of Science: , Expected in 05/2014
to
Henry Ford College - Dearborn, MI
GPA:
High School Diploma: , Expected in 05/2013
to
Henry Ford Early College - Dearborn, MI
GPA:
Languages
Arabic :
Native or Bilingual:
Negotiated :
:

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Resume Strength

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  • Length
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Resume Overview

School Attended
  • Henry Ford College
  • Henry Ford Early College
Job Titles Held:
  • Health Insurance Specialist
  • Front Desk Receptionist
  • Front Desk Medical Receptionist
Degrees
  • Associate of Science
  • High School Diploma

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