, , 100 Montgomery St. 10th Floor(555) 432-1000, 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 02/2020Insurance Verification SpecialistTower 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 08/2019Medical Billing RepresentativeRochester 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 11/2018Insurance 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 01/2016Insurance verficationAdvance 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 09/2022Associate | Health Information TechnologyBaltimore City Community College, Baltimore, MDGPA:
Expected in 08/2021Lincense | Nursing AssistanceIt Works, Baltimore, MD, GPA:
Expected in 2012Medical Assistant | Administration, Accounting and Healthcare
AdministrationAmerican Career Institute, Baltimore, MD, GPA:
Expected in 2012High School Diploma | New Spritual Foundation Academy , Batimore , GPA:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
