LiveCareer-Resume

insurance verification specialist resume example with 14+ years of experience

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

Seeking opportunities and secure a position where I can efficiently contribute my skills and abilities for the growth of the organization and my professional career in Horry County.

Skills
  • Insurance plan verification
  • Medical terminology
  • Skilled in Microsoft Office, Allscripts, Phreesia and Nextgen
  • Customer service
  • Records management
  • Schedule management
  • Supervision and training
  • Data entry
  • Insurance billing
Education and Training
PhreesiaHorry Georgetown Technical College Conway, SC, Expected in : Medical Office Management - GPA :
Conway Christian School Conway, SC, Expected in 05/2000 High School Diploma : - GPA :
Certifications
  • OSHA and HIPPA Training - 2020
Experience
Res-Care, Inc. - Insurance Verification Specialist
Greeneville, TN, 02/2015 - Current

Started part time as Insurance Verification preparing doctors schedules and procedures prior to patients appointments. Was offered a full time position continuing with insurance verification, as well as, other billing responsibilities including working accounts receivable, posting patient payments, and invoicing.

  • 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.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Examined claims, records and procedures to grant approval of coverage.
  • Completed claims forms for different types of appointments and worked on resolutions for denials or other insurance issues.
Universal Health Services - Medical Records Technician
Winston Salem, NC, 03/2008 - 12/2014

Started with the company as a medical records technician then progressed into multiple job opportunities. Worked as a MRI scheduler, MRI tech assistant, and worker's compensation representative.

  • Pulled patient records and transferred information to appropriate parties.
  • Provided respectful assistance to patients, staff members and insurance company representatives.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Verified record copies before handing each over to check for and remove unnecessary details.
  • Scanned incoming documentation.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Purged outdated files.
  • Obtained information by contacting appropriate personnel or patients.
  • Consolidated diverse medical records.
  • Set up patient charts and documented information in various company software.
Aids Healthcare Foundation - Assistant Store Manager
Baton Rouge, LA, 11/2006 - 03/2008
  • Completed frequent walk-throughs and directed team members to correct issues impacting store appearance or professionalism.
  • Set schedules and delegated assignments based on team strengths to optimize floor coverage and service levels.
  • Led teams in planning, implementation and execution of merchandising and operating initiatives to streamline business effectiveness.
  • Handled scheduling for store shifts across 7-day work weeks to achieve adequate staffing.
  • Supervised cashiers in processing credit, debit, and cash payments to streamline sales.
  • Monitored supplier operations to verify quality, delivery schedule and conformance to contract specifications.
  • Oversaw daily operations of store, including inventory and supply restocking, cash-handling and assisting customers.
  • Assisted customers, answered questions and resolved problems for stellar customer service.
  • Coordinated merchandising by planning floor layouts and displays, guiding resets and directing sales signage placement.
  • Scheduled staff to assign employee shifts according to departmental and business needs.
  • Created engaging merchandise presentations to motivate impulse purchases.
  • Measured goal achievement by evaluating daily cash flow, reviewing sales reports and producing financial statements.
  • Oversaw daily operations by delegating tasks, managing shift changes and conducting keyholder duties to open and close business.
Accomplishments
  • Awarded the Duct Tape Award from the office manager for being able to fix just about anything.
  • Presented the Carpe Diem Award for making the most of every day.
  • Recognized by office manager and administration for implementing a new medical records workflow.
  • Acknowledge by management, doctors, attorneys and patients for going above and beyond normal job responsibilities.
  • Was provided by administration the responsibility of closing 4 medical practices and transitioning patient files into an electronic database.

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Resume Overview

School Attended

  • PhreesiaHorry Georgetown Technical College
  • Conway Christian School

Job Titles Held:

  • Insurance Verification Specialist
  • Medical Records Technician
  • Assistant Store Manager

Degrees

  • Some College (No Degree)
  • High School Diploma

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