LiveCareer-Resume

Insurance Specialist resume example with 14+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Career Overview

I am a Motivated and reliable office administrative professional with 17 years experience providing executive-level support.

Committed and motivated Administrative Assistant with exceptional customer service and decision making skills. Strong work ethic, professional demeanor and great initiative.

Skill Highlights

Schedule management

Problem resolution

Self-starter

Deadline-oriented

Report analysis

Employee training and development

Claims appeal procedures

Insurance processing




  • Health insurance processing
  • Insurance eligibility verification
  • Current Procedural Terminology (CPT)
  • Inventory systems
  • Staff motivation


Core Accomplishments

Scheduling

  • Facilitated on boarding of new employees by scheduling training, answering questions and processing paperwork.

Research

  • Investigated any necessary information for proper billing for insurance companies, patients and DMEs such as proper billing codes.

Research

  • Investigated and analyzed client complaints to identify and resolve issues.

Multitasking

  • Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within high-volume environment.

Administration

  • Answered multiple phone lines, transferred calls to corresponding departments, filed patient records and billed accordingly.

Customer Service

  • Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.

Data Preparation

  • Prepared medical records packets for insurance reviews of procedures and fees/services justification.

Administration

  • Performed administration tasks such as filing, developing spreadsheets, faxing reports, photocopying collateral and scanning documents for inter-departmental use.

Reporting

  • Maintained status reports to provide management with updated information for client projects.

Training

  • Successfully trained staff in all office systems and databases, policies and procedures while focusing on minimizing errors and generating superior results.

Professional Experience
Insurance Specialist, 01/2013 to Current
Avera HealthWorthington, MN,

    Coordinated all department functions for team of 9 employees.

    Maintained detailed administrative and procedural processes to improve accuracy and efficiency.

    Verified and logged in deadlines for responding to daily inquiries.Coordinated meetings with other department managers and served as main liaison between Administrator and Employees

    Managed medical supply inventory, insurance records, patient charts and company files using online tracking system.

    Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.

    Updated patient accounts and information on a daily basis.

    Scheduled and confirmed appointments for entire management team.

    Successfully established effective systems for record retention by creating database for daily correspondence tracking.

    Medical Assistant, 01/2013 to 06/2015
    Valley HealthShenandoah, VA, United States
    • Supervised and trained admitting, billing and collection staff.
    • Updated patient accounts and information on a daily basis.
    • Managed incoming and outgoing calls for busy medical office.
    • Scheduled and confirmed appointments for entire management team.
    • Standardized department filing system to increase efficiency.
    • Calculated Coordination of Benefits (COB).
    • Coordinated admission processes and prepared medical records and agreement packets.
    • Handled and processed confidential patient information.
    • Maintained and organized master Resident Index and information files in master database.
    Clerical, Medical Assistant, 04/2001 to 07/2005
    StcharlesColorado Springs, CO, United States
    • Maintained and organized master Resident Index and information files in master database.
    • Handled and processed confidential patient information.
    • Coordinated admission processes and prepared medical records and agreement packets.
    • Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
    • Developed more efficient filing systems and customer database protocols.
    Pharmacy Technician, 08/2005 to 03/2007
    Lanier PharmacyCity, STATE, United States
    • While working at Laniers Pharmacy it was my duty to fill prescriptions, assist the pharmacist, insurance billing and customer service relations.
    Education
    High School Diploma: , Expected in 1991
    Apalachicola High School - Apalachicola, Florida
    GPA: GPA: 3.0

    GPA: 3.0

    Microsoft PowerPoint certification

    Skills

    10-Key, Account Management, Active Learning, Calendaring, Client Relations, Computer Proficiency, Coordination, Creative Problem Solving, Critical Thinking, Customer Needs Assessment, Customer Service, Data Collection, Data Entry, Documentation, Email, Executive Management Support, Filing, Grammar, Internet Research, Letters and Memos, Lotus Notes, Microsoft Excel, Microsoft Office Suite, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Minute Taking, Multi-Task Management, Organizational Skills, Prioritization, Proofreading, Reading Comprehension, Report Transcription, Research, Scheduling, Service Orientation, Speaking, Spreadsheets, Telephone Skills, Time Management, Travel Arrangements, Travel Booking, , Typing, Vendor Management, Writing

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    Resume Overview

    School Attended

    • Apalachicola High School

    Job Titles Held:

    • Insurance Specialist
    • Medical Assistant
    • Clerical, Medical Assistant
    • Pharmacy Technician

    Degrees

    • High School Diploma

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