Insurance Verification Specialist Resume Example

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Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - - -
Professional Summary

To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

  • Complaint resolution
  • Data entry
  • Quick learner
  • Successful Debt-Collector
  • CPT Coding
  • MS Office proficiency
  • Computer proficient
  • Proficient in MS Excel
  • Verbal and written communication
  • Payment processing
  • 45-50 WPM
  • Sensitive information handling
  • Scheduling
  • Record Keeping
  • Sales expertise
  • Medical terminology knowledge
  • Insurance Verification
Work History
06/2019 to 07/2021
Insurance Verification Specialist Novant Health Lewisville, NC,
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Verified client information by analyzing existing evidence on file.
  • Posted payments to accounts and maintained records.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • CPT coding
  • Pre-authorizations
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Reviewed and verified data, including addresses, phone numbers, names, ages, and values.
  • Hipaa
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Medicaid/Medicare
02/2012 to 04/2019
Senior Utility Service Agent Apex Staffing, Inc. Benton, AR,
  • Provided product and service information to customers
  • Documented in open-c database each inquiry and resolution
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards
  • Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service
  • Compiled customer feedback and recommended service delivery improvements to management
  • Performed various clerical duties by filing and faxing documents and creating customer databases
  • Followed up with clients to ensure optimal customer satisfaction following support engagement and problem resolution
  • Documented all transactions and support interactions in system for future reference and addition to knowledge base
  • Trained 10+ new employees in various procedures and gave feedback on daily work performance to increase productivity and caller satisfaction by 12%
  • Sent out service technicians to assist hourly callers based on locations, needs and worker availability
  • Identified, researched and resolved billing variances to maintain system accuracy and currency
  • Payment processing
  • Assisting customers with billing disputes, scheduling service appointments, and responding to customer email inquiries
  • Answered over 7+ calls and emails per hour to meet fast-paced call center demands
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance
  • Reviewed account and service histories to identify trends and issues
  • Prepared, completed and processed customer account forms and database changes
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints
11/2009 to 03/2012
Front Desk Receptionist Welbilt Parsons, KS,
  • Updated customer accounts with add-on room charges, including minibar use and room service bills
  • Provided guests with above-and-beyond service, including making outside venue reservations and setting up tours
  • Explained details regarding property, including restaurants, pool area, spa and fitness center to acclimate patrons to resort environment
  • Planned coverage needs and organized services to support incoming special events
  • Kept accounts in balance and ran daily reports to verify totals
  • Welcomed each new arrival pleasantly and confirmed reservations and identification
  • Maintained transaction security checking payment cards against identification
  • Used quick response and dynamic service skills to build relationships with patrons, improving customer retention rate
  • Promoted local entertainment and sporting events and offered details to assist patrons
  • Answered multi-line phone system, responded to inquiries and transferred calls to correct departments and personnel
  • Liaised with housekeeping and maintenance staff to address requests and complaints made by guests
  • Retrieved mail, packages and documents on behalf of guests, promptly verifying receipt and arranging for pickup or transmittal
  • Resolved service-related problems in timely manner
  • Confirmed relevant guest information and payment methods to prevent fraud
06/2006 to 08/2008
Customer Service Representative Nicor Gas City, STATE,
  • Documented conversations with customers to track requests, problems and solutions
  • Consulted with customers to determine best methods to resolve service and billing issues
  • Reviewed account and service histories to identify trends and issues
  • Escalated customer concerns, store issues to supervisors
  • Addressed customer service inquiries quickly and accurately
  • Prepared, completed and processed customer account forms and database changes
  • Met or exceeded call speed, accuracy and volume benchmarks on consistent basis
  • Assisted 5+ callers per week in fast-paced environment
  • Achieved top satisfaction, retention and referral rankings on consistent basis
  • Improved productivity by providing CSR performance feedback for corrective action
  • Processed Payments
Expected in 2001
High School Diploma:
Rockhill Highschool - Rockhill, SC,

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Resume Strength

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  • Target Job
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Resume Overview

School Attended
  • Rockhill Highschool
Job Titles Held:
  • Insurance Verification Specialist
  • Senior Utility Service Agent
  • Front Desk Receptionist
  • Customer Service Representative
  • High School Diploma

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