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Insurance Verification Specialist Resume Example

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INSURANCE VERIFICATION SPECIALIST
Professional Summary

Collaborative and creative people-person with proven success building patient relationships and preserving data integrity. Smart, reliable, friendly and energetic. Motivated to help others achieve their goals. Welcoming and inclusive to all. Knowledgeable in insurance and childhood development.

Skills
  • Insurance Terminology
  • Collaborative Relationships
  • Scheduling
  • Insurance Knowledge
  • Customer Service
  • Delinquent Accounts Monitoring
  • Understanding of medical terms
  • Collaborative relationships
  • Data integrity
  • Proficient in Microsoft Office
  • Student Records Management
  • Creative Lesson Planning
  • First Aid and CPR certified
  • Early childhood education
  • Classroom management
  • Professional nanny
  • Staff Management
  • Sales and marketing
Work History
Insurance Verification Specialist, 04/2019 to Current
Company Name – City, State
  • Made contact with insurance carriers to discuss policies and individual patient benefits
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data
  • Verified client information by analyzing existing evidence on file
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures
  • Assured timely verification of insurance benefits prior to patient procedures or appointments
  • Equipped and organized facility to comply with company strategy for online and offline quality controls
  • Developed and executed plans to monitor standard process adherence
  • Followed quality standards and procedures to minimize errors and maximize customer satisfaction
  • Monitored social media and online sources for industry trends
  • Managed and archived quality documentation and participated in internal and external quality audits
  • Coordinated with verification team in developing project plans for prioritized initiatives
  • Coordinated with contracting department to resolve payer issues
  • Maintained confidentiality of patient finances, records and health statuses
Insurance Coordinator, 09/2017 to 12/2018
Company Name – City, State
  • Filed and tracked insurance claims and communicated claims status to patients.
  • Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
  • Used quick response and dynamic service skills to build relationships with patrons, improving customer retention rate.
  • Maintained current and accurate medical records for over 25,000 patients.
  • Completed and filed financial documentation for accounting purposes.
  • Verified insurance and communicated coverage to staff and patients.
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Maintained clear, organized Vision records and reports.
  • Promoted positive and smooth patient flow throughout facility, encouraging more efficient operations and boosting patient satisfaction.
  • Worked well with patients, staff and manufacturer representatives to carry out successful office- and patient-related work each day.
  • Investigated and resolved customer complaints to foster satisfaction.
  • Improved quality processes for increased efficiency and effectiveness.
  • Managed efficient cash register operations, including scanning items, processing payments and issuing receipts.
  • Answered questions about store policies and concerns to support positive customer experiences.
  • Replenished sales floor merchandise and organized shelves, racks and bins for optimal appearance.
  • Provided accurate information about promotions, customer programs and products, helping drive high customer retention.
Early Childhood Educator, 09/2015 to 09/2017
Company Name – City, State
  • Maintained well-controlled classrooms by clearly outlining standards and reinforcing positive behaviors.
  • Educated students in foundational concepts such as shapes, numbers and letters.
  • Promoted physical, academic and social development by implementing diverse classroom and outside activities.
  • Observed children to identify individuals in need of additional support and developed strategies to improve assistance.
  • Promoted sensory development by providing access to different textures.
  • Consulted with parents to build and maintain positive support networks and support continuing education strategies.
  • Applied play-based strategies, including crafts and games, to provide diverse approaches to learning.
  • Helped children take care of personal needs and maintain good hygiene.
  • Assisted and supervised 14-22 children through entire school day.
  • Monitored students' academic, social and emotional progress and recorded in individual files.
  • Allowed for ample outdoor discovery time each day.
  • Sanitized toys and play equipment each day to maintain safety and cleanliness.
  • Communicated with parents and other staff about student progress.
  • Gave one-on-one attention to children while maintaining overall focus on entire group.
Education
High School Diploma: 05/2014
Fairview High School - City, State
Hobbies

Part time nanny and Photographer

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Resume Overview

School Attended

  • Fairview High School

Job Titles Held:

  • Insurance Verification Specialist
  • Insurance Coordinator
  • Early Childhood Educator

Degrees

  • High School Diploma : 05/2014

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