LiveCareer-Resume

insurance verification specialist i resume example with 9+ years of experience

JC J S S JS J S S JS J S S JS J S S JS J S S JS J S S JS
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Enthusiastic individual eager to start an career change in education. I would like to leverage my extrovert and dynamic approach in teaching students. With my great administrative and coordination skills, I would work to perform organizational tasks and duties. Guiding the students to encourage them to participate in constructive programs would be my aim as a teacher.

Accomplishments

    · Top collector for Pre-service center 2016-2017

Skills
  • Teambuilding
  • Active Listening
  • Flexible and Adaptable
  • Decision-Making
  • Multitasking Abilities
  • Excellent Communication
  • Analytical and Critical Thinking
  • Written Communication
  • Self-Motivated
  • Organization and Time Management
  • MS Office
  • Data Entry
  • Attention to Detail
  • Good Telephone Etiquette
  • Problem-Solving
Work History
12/2020 to 02/2022 Insurance Verification Specialist I Kaiser Permanente | Granada Hills, CA,
  • Responsible for oversight of the insurance verification and authorization process
  • Provide timely and complete processing of eligibility and benefit verification
  • Maintain efficient tracking of all pending authorizations to ensure timely resolution and avoid loss of revenue
  • Perform routine review of outstanding requests and redirects workload as appropriate
  • Provides and documents ongoing communication with stakeholders to ensure proper care for client
  • Successfully works with payers via electronic/telephonic and/or fax communications
  • Provides excellent customer service when communicating estimated costs with patients by phone
  • Posted payments to accounts and maintained records.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
11/2014 to 06/2019 Patient Access Representative Community Teamwork | Lowell, MA,
  • Enters required information in the computer system in an accurate and timely manner
  • Obtains demographic, insurance and financial information from patient or guarantor
  • Enters information in computer system with a high degree of accuracy
  • Communicating information to patient
  • Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options
  • Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed
  • Posts payments in the computer system and generates the appropriate patient receipts
  • Monitors, reviews and resolves patient account issues
  • Communicates in an effective and professional manner with office staff, insurance companies, as well as patient's
  • Performed pre-registration and registration to all patients, obtained insurance benefit verification, and collected copays
  • Performed duties relating to the hospital revenue cycle that are included in the areas of payments and advance deposits
  • Collected co-payments, self- pay deposits, and any other form of account payments from patients
  • Proficiency in handling high volumes of calls while providing excellent customer care.
  • Performed various functions with close adherence to both hospital rules and regulatory compliance.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
01/2013 to 11/2014 Office Assistant/Front desk operator Big Star Honda | City, STATE,
  • Operated a telephone/switchboard system
  • Convey and coordinate daily schedules and appointments to guest and employees via e-mail or telephone
  • Provide accurate information to callers and visitors
  • Accurately Record and transmit messages
  • Kept records of daily multiple calls internal and external
  • Directs daily calls to appropriate departments
  • Greeted all visitors, customers and guest
  • Clearly directing customers, guest, and visitors to appropriate areas, department and correct location of business
  • Performed task such as: typing, filing, or other support duties
  • Performed other related duties as assigned or required
  • Confirmed and Per-Confirmed daily appointments
  • Creating and maintaining a safe environment for all customers, visitors and employees
  • Completed assigned duties in an efficient and timely matter
  • Communicate and collaborate with each department to maintain and ensure decent wait time for customer
  • Prepared office supply needed for daily use.
  • Retrieved mail, packages and documents on behalf of guests, promptly verifying receipt and arranging for pickup or transmittal.
05/2008 to 11/2009 Teacher Treasure Town Academy | City, STATE,
  • Planned and organized field trips
  • Assisted with daily activities and curriculum
  • Lead instructional period for toddler aged children
  • Maintained a safe environment for every child and guest
  • Cleaned, decorated and organized classroom
  • Collaborating and maintaining great communication with parents to ensure every child’s need.
  • Worked cooperatively with other teachers, administrators and parents to help students reach learning objectives.
  • Kept students on-task with proactive behavior modification and positive reinforcement strategies.
  • Completed daily reports, meal count sheets and attendance logs.
05/2006 to 01/2007 Front Desk Clerk/clerical Administration Precision Medical Billing & Coding | City, STATE,
  • Complied with established internal controls and policies.
  • Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.
  • Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
  • Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
  • Prepared weekly employee work schedules for team members.
  • Planned coverage needs and organized services to support incoming special events.
Education
Expected in 12/2013 to to Bachelors of Arts | Liberal Arts And General Studies Texas Southern University, Houston, Tx, GPA:
Additional Information

Associations/Affiliations

  • Top collector for Pre-service center 2016-2017
  • Volunteer True Vine C.O.G.I.C., 2006- Currently Active
  • Texas Scholar Recipient -2006
  • Texas Scholar Scholarship Award 2006-2007
  • National Honor Society- 2005-2006
  • Honor Roll -2005-2006
  • Who's Who among American High School Student's -2006
  • Texas South Central Scholarship Award -2006

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Texas Southern University

Job Titles Held:

  • Insurance Verification Specialist I
  • Patient Access Representative
  • Office Assistant/Front desk operator
  • Teacher
  • Front Desk Clerk/clerical Administration

Degrees

  • Bachelors of Arts

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: