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insurance verification specialist resume example with 15+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Self-driven and focused individual with more than ten years experience in Administration and Clerical support who will utilize well honed organizational and planning skills in an environment conducive to mutual growth and development.

Skills
  • Fluent in Spanish
  • Meticulous attention to detail
  • Results-oriented
  • Strong problem solver
  • Time management
  • Managing multiple priorities
  • Exceptional problem solver
  • Strong interpersonal skills
Accomplishments
Increased office organization by developing more efficient filing system and customer database protocols. Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.
Experience
01/2022 to Current
Care Coordinator Res-Care, Inc. Cottontown, TN,
  • Provided direct service and support by handling referrals for advocacy issues or resolving complaints.
  • Handled administrative procedures to meet objectives set by boards of directors or senior management.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Maintained clinical records and required paperwork in compliance with agency standards.
  • Verified insurance eligibility, benefits and patient liabilities for defined services.
  • Updated patient information on computer system to maintain billing accuracy.
  • Processed paperwork, obtained billing forms and secured confidential information.
09/2017 to 01/2022
Treatment Coordinator Fairview Health Services Saint Paul, MN,
  • Made appointments, contacted patients for follow-ups, coordinated with insurance companies and handled billing issues.
  • Coordinated payment with insurance companies and discussed dental benefits with patients.
  • Functioned as team leader and organized all treatment and placement activities
  • Scheduled evaluations and procedures for patients.
06/2015 to 06/2017
Insurance Verification Specialist Menards, Inc. Batavia, IL,
  • Efficiently performed insurance verification and pre-certification and pre-authorization functions.
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Provided administrative support for office.
  • Verified that information in the computer system was up-to-date and accurate.
  • Acted as a liaison between the billing department, patients and third party payers in resolving billing and reimbursement accuracy.
  • Consistently informed patients of their financial responsibilities prior to services being rendered.
  • Observed strict confidentiality and safeguarded all patient-related information.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • 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.
  • Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
07/2014 to 04/2015
Optometric Assistant Fairview Health Services Edina, MN,
  • Helped Optometrist by conducting diagnostic tests, recording and measuring vision
  • Instructed patients in insertion, removal, and care of contact lenses.
  • Designed improved training procedures to help new staff acclimate quickly.
  • Reconciled daily accepted patients' payments and paid office utilities.
  • Ordered office supplies, contact lenses, glasses and sunglasses.
  • Retained an exact inventory by maintaining records and physical count.
  • Increased office organization by developing more efficient filing system and customer database protocol.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Kept office and exam rooms clean, organized and professional. 
01/2011 to 11/2011
Cashier SCE Federal Credit Union City, STATE,
  • Operated cash register with proficiency.
  • Provided professional and courteous service at all times.
  • Assessed customer needs and responded to questions.
  • Maintained up-to-date knowledge of store policies regarding payments, returns and exchanges.
  • Prevented store losses using awareness, attention to detail and integrity.
01/2007 to 09/2009
Optometric Assistant Company Name City, State,
  • Escorted patients to examination rooms and prepared them for physician exams. 
  • Confirmed that frames were correctly built with facial and eye measurements and optical prescriptions.
  • Instructed patients on the proper care of eyeglasses and contact lenses. Educated patients about their treatments.
  • Determined visual acuity and perception, focus and coordination.
  • Referred patients to outside healthcare professionals for additional medical treatment.
  • Heated, shaped and bent plastic and metal frames to adjust eyeglasses for clients.
  • Confirmed that frames were correctly built with facial and eye measurements and optical prescriptions.
02/2001 to 11/2006
Lead Teller/Financial Services Consultant Company Name City, State,
  • Trained and mentored new tellers.
  • Greeted customers promptly and responded to questions.
  • Counted and balanced cashier drawers.
  • Received, recorded, and banked cash, checks, and vouchers as well as reconciled records of bank transactions.
  • Analyzed financial information obtained from clients to determine strategies for meeting clients' financial objectives.
  • Analyzed applicants' financial status, credit and property evaluation to determine feasibility of granting loan.
  • Educated customers on the variety of loan products and available credit options.
  • Complied with regulatory requirements including Bank Secrecy Act, Anti-Money Laundering, OFAC, USA Patriot Act, Privacy Act and Community Reinvestment Act.
Education and Training
Expected in 2019 to to
Bachelor of Arts: Education
Dona Ana Community College - Las Cruces, NM
GPA:

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Resume Overview

School Attended

  • Dona Ana Community College

Job Titles Held:

  • Care Coordinator
  • Treatment Coordinator
  • Insurance Verification Specialist
  • Optometric Assistant
  • Cashier
  • Optometric Assistant
  • Lead Teller/Financial Services Consultant

Degrees

  • Bachelor of Arts

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