LiveCareer-Resume

Insurance Verification Specialist resume example with 13+ years of experience

JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic. Experience with electronic recordkeeping and insurance documentation.

Skills

Skilled in both dental and medical insurance insurance and claims verifications. With over 10 years of experience in multiple software services such as Eagle software, meditech, and Kareo. I am eager to learn as well as a fast learner.

Experience
05/2017 to 12/2019 Insurance Verification Specialist Great Expressions Dental Centers | Goshen, NY,
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Updated patient and insurance data and input changes into company computer system.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Followed specific security rules and guidelines to protect patient medical records and payment card information.
  • Performed verification of Medicare coverage.
  • Identified important patient and demographic information.
  • Pulled patient files and forwarded to appropriate offices for processing.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Maintained office supplies inventory by checking stock and ordering new supplies as needed.
  • Answered 20 average daily phone calls to schedule appointments and address patient inquiries.
  • Assisted 15 patients weekly by reviewing personal cases and insurance coverage information.
  • Communicated with patients to gather intake data and verify chart information.
  • Managed incoming telephone calls, including taking messages and directing callers to personnel.
  • Helped patients complete paperwork and explained processes and procedures.
  • Called patients to schedule 15 appointments, consistently double-checking information and availability.
03/2014 to 06/2016 Insurance Verification Specialist Great Expressions Dental Centers | Hyannis, MA,
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Followed specific security rules and guidelines to protect patient medical records and payment card information.
  • Performed verification of Medicare coverage.
  • Identified important patient and demographic information.
  • Assisted 30 patients weekly by reviewing personal cases and insurance coverage information.
  • Pulled patient files and forwarded to appropriate offices for processing.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Updated patient financial information to promote accurate record keeping.
  • Answered 30 average daily phone calls to schedule appointments and address patient inquiries.
  • Communicated with patients to gather intake data and verify chart information.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Prepared new charts, updated existing charts and managed records transfers between offices.
  • Managed incoming telephone calls, including taking messages and directing callers to personnel.
  • Helped patients complete paperwork and explained processes and procedures.
05/2003 to 02/2012 Insurance Verification Specialist Great Expressions Dental Centers | Land O' Lakes, FL,
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Updated patient and insurance data and input changes into company computer system.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Followed specific security rules and guidelines to protect patient dental records and payment card information.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Examined claims, records and procedures to grant approval of coverage.
  • Performed verification of Medicare, Medicaid, Ahcccs coverage. As well as all private hmo, ppo plans.
  • Identified important patient and demographic information.
  • Assisted 50 patients weekly by reviewing personal cases and insurance coverage information.
  • Pulled patient files and forwarded to appropriate offices for processing.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Maintained office supplies inventory by checking stock and ordering new supplies as needed.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Updated patient financial information to promote accurate record keeping.
  • Answered 60 average daily phone calls to schedule appointments and address patient inquiries.
  • Communicated with patients to gather intake data and verify chart information.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Prepared new charts, updated existing charts and managed records transfers between offices.
  • Managed incoming telephone calls, including taking messages and directing callers to personnel.
  • Completed claims forms for different types of appointments and worked on resolutions for denials or other insurance issues.
  • Helped patients complete paperwork and explained processes and procedures.
  • Contacted other dental facilities to confirm medical histories and prevent inaccurate diagnoses.
  • Called patients to schedule dental appointments, consistently double-checking information and availability.
  • Digitized over 100 dental records and organized files in Eagle Software.
Education and Training
Expected in 05/2003 High School Diploma | Desert View High School, Tucson, AZ GPA:
  • Maintained 3.75 gpa all 3 years
  • Graduated 1 year early

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Resume Overview

School Attended

  • Desert View High School

Job Titles Held:

  • Insurance Verification Specialist
  • Insurance Verification Specialist
  • Insurance Verification Specialist

Degrees

  • High School Diploma

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