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insurance verification specialist resume example with 14+ years of experience

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

Self-motivated Insurance Verification Specialist proudly offering over 16 years' experience building an understanding of medical terminology while tracking patient coverage. A poised professional with benefits explanation and administration expertise. Offering time management and interpersonal skills.

Skills
  • Top Skills
  • Training
  • General Insurance
  • Vital Signs
  • Communication and Interpersonal Skills
  • Insurance Plan Verification
  • Customer Service
  • Documentation and Correspondence
  • Customer Relationship Management
  • Attention to Detail
  • Coordination and Scheduling
  • Coverage and Authorizations
  • Data Entry and Review
  • Medicaid Knowledge
  • Electronic Medical Records
  • Insurance Terminology
  • Patient Rapport
  • Analytical Thinking
  • Medical Terminology
  • Advising Patents
  • Administrative Support
  • Appointment Scheduling
  • Cleaning and Sterilizing
  • Time Management
  • Invoice Preparation
  • Detail-Oriented
  • Problem-Solving
  • Supply Ordering
  • Critical Thinking
  • Verbal and Written Communication
  • Organization and Time Management
  • Taking Client Histories
  • Medical Charting
  • Medical Recordkeeping
  • Electronic Authorization Processing
  • Secure Data Practices
Experience
06/2021 to Current
Insurance Verification Specialist Accentcare Shamrock, TX,
  • Updated patient and insurance data and input changes into company computer system.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
  • Accessed third-party insurance databases to identify coverage of benefits.
  • Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
  • Navigated through multiple online systems to obtain documentation.
  • Entered data in EMR database to record payer, authorization requirements and coverage limitations.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Liaised between physician, site of service and billing department to obtain appropriate documentation.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Completed relevant insurance and other claim forms.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Routed laboratory or diagnostic results to appropriate staff.
03/2019 to 08/2021
Front Office Supervisor Noble House Hotels And Resorts Key West, FL,
  • Kept close eye on front desk to promptly address and resolve issues.
  • Planned staff and training meetings and scheduled conference rooms.
  • Fielded complaints from clients and customers and rectified issues.
  • Assisted with interviewing job applicants by asking appropriate questions and offering insight and feedback.
  • Answered phones to respond to customer inquiries and transferred calls to appropriate staff members.
  • Monitored office inventory to maintain supply levels.
  • Met budget targets and quality standards by proactively leading team members and monitoring operations.
  • Orchestrated staff meetings to maintain open communication and quickly address concerns.
  • Reconciled daily cash statements and handled financial reports daily.
  • Hired and trained front desk agents and monitored compliance with company procedures.
06/2015 to 05/2017
Insurance and Authorizations Specialist/Team Leader Kabafusion Wheaton, IL,
  • Offered training and support to keep team members motivated and working toward objectives.
  • Delegated daily tasks to team members to optimize group productivity.
  • Kept work areas clean, neat and free of safety hazards to maximize efficiency.
  • Motivated and empowered team members to build customer satisfaction and loyalty to support retention and growth.
  • Promoted to leadership position in recognition of strong work ethic and provided exceptional customer service.
  • Reviewed completed work to verify consistency, quality and conformance.
  • Assigned projects and distributed tasks to team members as per area of expertise.
  • Fostered positive employee relationships through communication, training and development coaching.
  • Interviewed and selected potential new team members from list of candidates recommended by recruitment team.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Identified areas for improvement, narrowing focus for decision-makers in making necessary changes.
  • Termination
05/2007 to 06/2015
Patient Care Coordinator American Health Imaging City, STATE,
  • Processed patient intake information and updated medical records prior to treatment.
  • Received and routed care team messages and documents to appropriate staff.
  • Explained policies, procedures and services to patients.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
  • Obtained informed consent and payment documentation from patients and filed in system.
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
  • Counseled patients on potential financial liabilities and payment requirements.
  • Medical records
Education and Training
Expected in 01/2022 to to
Master's degree: Health/Health Care Administration/ Management
University of Phoenix - ,
GPA:
Expected in 01/2005 to to
BSSS: Human Services
Mercer University - ,
GPA:
Expected in 01/2002 to to
Associate of Science (A.S: Biology/Biological Sciences
Trident Technical College - ,
GPA:

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Resume Overview

School Attended

  • University of Phoenix
  • Mercer University
  • Trident Technical College

Job Titles Held:

  • Insurance Verification Specialist
  • Front Office Supervisor
  • Insurance and Authorizations Specialist/Team Leader
  • Patient Care Coordinator

Degrees

  • Master's degree
  • BSSS
  • Associate of Science (A.S

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