Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Professional Summary

Collaborative Insurance Verification Specialist with proven success building patient rapport and preserving data integrity. Smart, reliable and possessing extensive Medicaid and non-Medicaid benefits knowledge.

Hardworking [Job Title] bringing [Number] years of experience meeting customer needs via telecommuting roles. Skilled in listening to customers, meeting productivity targets and maintaining current knowledge of company offerings. Offering empathy, reliability and enthusiasm for satisfying customers.

Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Offer demonstrated proficiency in insurance products, services and customer behaviors. Trained in reviewing documents, working with internal and external parties and resolving routine and challenging concerns with independent approach. Capable of identifying and resolving problems, promoting new offerings and outperforming sales goals.

  • Insurance coverage verification
  • Proficient in [Software]
  • Prior authorization processing
  • Data entry
  • Patient contact
  • Understanding of medical terms
  • Collaborative relationships
  • Data integrity
  • Document reveiw
  • Customer service excellence
  • Care coordination
  • Scheduling
  • Commercial equipment operations
  • Respiratory equipment setup
  • Patient education and advocacy
  • Customer needs assessment
  • Staff leadership and direction
  • Clinical documentation
Work History
09/2015 to Current Insurance Verification Specialist Refresh Mental Health | Tallahassee, FL,
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Accurately inputted all patient and insurance information into company's computer system using [Software].
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Verified client information by analyzing existing evidence on file.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Implemented brand and demand strategies to meet revenue targets for business services and products.
  • Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival.
11/2009 to 12/2019 AR Specialist Toyoda Gosei North America Corporation | Brighton, MI,
  • Performed targeted collections on past due accounts aged over [Number] days.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
  • Developed, updated and maintained database of existing and potential customers in [Software].
  • Produced, distributed and tracked more than [Number] monthly invoices for [Industry] business.
  • Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate.
  • Conducted training and change management processes to improve operations.
  • Supervised and led employees to high performance levels in cross-functional matrix management structure.
  • Documented meeting minutes and distributed to staff to facilitate follow-up and permanent record.
  • Managed and archived quality documentation and participated in internal and external quality audits.
  • Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival.
  • Evaluated quality problems and performed [Action] to identify and resolve issues.
  • Assisted with proactive client outreach initiatives through [Task] and documented client correspondence in [Software] CRM system.
07/2000 to 11/2009 Medical Consultant Unum Group | Phoenix, AZ,
  • Consulted with healthcare professionals on business decisions.
  • Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures, and financial reporting.
  • Developed and maintained electronic record management systems to analyze and process data.
  • Drafted and analyzed complex medical data.
  • Created and implemented organizational policies and procedures.
  • Formulated and implemented [Number] innovative medical strategies in [Type] healthcare field.
  • Assisted with regulatory issues such as compliance.
  • Organized and facilitated [Number] department head meetings weekly, discussing current census, admissions and discharges and residents' Medicaid applications.
  • Produced monthly financial reports like income statements, balance sheets, cash flow statements and other financial analyses for presentation to board of directors.
Expected in 09/1989 High school | Cosmetology Education Greater New Bedford Regional Vocational High Schoo, New Bedford, Massachusetts GPA:
  • Majored in cosmetology and aesthetic

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School Attended

  • Greater New Bedford Regional Vocational High Schoo

Job Titles Held:

  • Insurance Verification Specialist
  • AR Specialist
  • Medical Consultant


  • High school

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