Insurance Verification Specialist resume example with 20+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
Professional Summary
Positive Front Office Supervisor with an exceptional eye for detail and approachable yet determined attitude. Leadership trained with high expectations for personal work and employee contributions. 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.
Skills
Organization and Time Management
Customer Service
Detail-Oriented
Data Entry Software
Cleaning and Sterilizing
Appointment Scheduling
Taking Client Histories
Insurance Authorizations
Referral Verification
Collaboration and Teamwork
HIPAA Compliance
Work History
Insurance Verification Specialist, 04/2021 to Current Novant Health – Bolivia, NC,
Made contact with insurance carriers to discuss policies and individual patient benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Communicated verification and authorization status updates with hospital department to facilitate decision-making for patient admissions and insurance coverage.
Observed strict procedures to protect sensitive patient information, medical records and payment data.
Reviewed 30 patient cases per week and verified insurance coverage information.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Obtained payments from patients and scanned identification and insurance cards.
Carried out front office duties utilizing data entry skills in framework of medical database.
Answered phone calls and messages for 3-physician surgical medical facility, scheduling appointments and handling patient inquiries.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Coded correct procedures for physician and billing purposes.
Followed physician's orders and availability calendar to schedule tests and procedures.
Verified insurance coverage and obtained pre-authorizations.
Contacted insurance companies to obtain authorizations and gathered all related medical records.
Reached out to patients to confirm arrival times and convey procedures.
Coordinated with facilities to set up surgeries.
Front Office Supervisor, 07/2011 to 04/2021 Alliance Healthcare Services, Inc. – Joplin, MO,
Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
Updated all patient and insurance data regularly and carefully inputted changes into company's computer system
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling
Managed therapist calendar, including scheduling patient appointments and evaluations
Maintained office supplies inventory by checking stock and ordering new supplies as needed
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses
Called patients to schedule appointments, consistently double-checking information and availability
Answered daily phone calls to schedule appointments and address patient inquiries
Managed front office customer service, appointment management, and administration tasks to streamline workflow.
Receptionist Coordinator, 08/2005 to 02/2011 The Orchards – Rancho Mission Viejo, CA,
Greeted visitors, assessed needs and directed to appropriate personnel
Set and confirmed appointments
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
Updated all patient and insurance data regularly and carefully inputted changes into company's computer system
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
School Bus Driver, 08/1997 to 08/2005 North Country Academy – Cincinnati, OH,
Performed all duties with personable communication and professionalism, including bus
operation and passenger interaction
Assisted disabled passengers in boarding and exiting bus
Operated navigation equipment and two-way radio while remaining focused on safety and
efficiency
Obeyed all DOT rules and regulations in addition to local laws and stipulations
Reconfigured routes to accommodate for added or removed stops on schedule
Obeyed traffic laws and follow established traffic and transportation procedures
Operated specialized equipment including motorized ramps and lifts
Maintained timely adherence to schedules and safety protocols
Adhered to company determined schedules and routes to ensure timely arrivals and departures
Helped passengers feel comfortable by keeping pleasant temperatures and clean bus interiors
Kept bus orderly with strong control over passenger behaviors
Maintained strict compliance with safety rules for passenger and driver protection
Inspected vehicle daily and personally handled routine upkeep.
Education
High School Diploma: , Expected in Onate High School - Las Cruces, NM GPA:
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