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insurance verification specialist resume example with 5+ years of experience

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

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.

Skills
  • Proficient in Epic ,NextGen
  • Prior authorization processing
  • Medical Billing
  • CPT Coding
  • Patient Care
  • HIPAA Compliance
  • Insurance Knowledge
  • Medical Records Management
  • Medical Coding
  • Medical Records Review
  • First Aid and CPR
  • Appointment Scheduling
  • Insurance claims
  • Microsoft Office
  • Understanding of medical terms
  • Activities of Daily Living ADL Support
  • Linen Replacements
  • Vital Signs Collection
  • Patient Positioning
Work History
06/2019 to 02/2020
Insurance Verification Specialist Tower Health Boyertown, PA,
  • Accurately inputted all patient and insurance information into company's computer system using NexGen.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Verified client information by analyzing existing evidence on file.
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
  • Organized patient files and streamlined operations to improve efficiency.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Reviewed 300 patient cases per week and verified insurance coverage information
  • Made contact with insurance carriers to discuss policies and individual patient benefits
05/2018 to 08/2019
Medical Billing Representative Rochester General Health System Brasher Falls, NY,
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
  • Liaised between patients, insurance companies and billing office
  • Precisely evaluated and verified benefits and eligibility
  • Accurately inputted all patient and insurance information into company's computer system using NextGen
  • Assured timely verification of insurance benefits prior to patient procedures or appointments
  • Reviewed [250 to 500 patient cases per week and verified insurance coverage information
  • Carried out front office duties utilizing data entry skills in framework of medical database
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
  • Answered customer telephone calls promptly to avoid on-hold wait times
  • Sanitized, restocked and organized exam rooms and medical equipment
  • Scheduled, rescheduled and handled cancelled appointments for patients
12/2016 to 11/2018
Insurance Verfication Speicalist Kindred At Home City, STATE,
  • Prepared a variety of different written communications, reports and documents to ensure smooth operations
  • Carried out day-day-day duties accurately and efficiently
  • Drove operational improvements which resulted in savings and improved profit margins
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures
  • Assured timely verification of insurance benefits prior to patient procedures or appointments
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data
  • Verified client information by analyzing existing evidence on file
  • Made contact with insurance carriers to discuss policies and individual patient benefits
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments
  • Coordinated front office duties, including customer service, patient scheduling and billing
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments
  • Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience
  • Obtained payments from patients and scanned identification and insurance cards
  • Received, recorded and addressed incoming and outgoing communication via telephone and email
  • Used Microsoft Word and other software tools to create documents and other communications
  • Proved successful working within tight deadlines and fast-paced atmosphere
06/2013 to 01/2016
Insurance verfication Advance Radiology City, STATE,
  • Submitted electronic/paper claims documentation for timely filing.
  • Initiated, performed and documented quarterly coding audits for physicians.
  • Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
  • Precisely evaluated and verified benefits and eligibility.
  • Identified and resolved patient billing and payment issues.
  • Determined prior authorizations for medication and outpatient procedures.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Handled 400 calls per day to address customer inquiries and concerns
  • Accurately inputted all patient and insurance information into company's computer system using Ris systems
  • Located, checked in and pulled medical records for patient appointments and incomplete charts
  • Made contact with insurance carriers to discuss policies and individual patient benefits
  • Coordinated front office duties, including customer service, patient scheduling and billing
  • Pulled charts and prepared for nurse and doctor assessment
  • Accommodated patients by scheduling appointments, and establishing relationships with managed care organizations, area hospitals and insurance companies to expedite payments and resolve issues
Education
Expected in 09/2022
Associate : Health Information Technology
Baltimore City Community College - Baltimore, MD
GPA:
Expected in 08/2021
Lincense: Nursing Assistance
It Works - Baltimore, MD,
GPA:
Expected in 2012
Medical Assistant : Administration, Accounting and Healthcare Administration
American Career Institute - Baltimore, MD,
GPA:
Expected in 2012
High School Diploma:
New Spritual Foundation Academy - Batimore ,
GPA:

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Resume Overview

School Attended

  • Baltimore City Community College
  • It Works
  • American Career Institute
  • New Spritual Foundation Academy

Job Titles Held:

  • Insurance Verification Specialist
  • Medical Billing Representative
  • Insurance Verfication Speicalist
  • Insurance verfication

Degrees

  • Associate
  • Lincense
  • Medical Assistant
  • High School Diploma

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