Insurance Verification Coordinator Resume Samples

As an Insurance Verification Coordinator, the individual will interview patients and complete all necessary paperwork. While duties vary from setting to setting, the following are certain core duties that are listed on the Insurance Verification Coordinator Resume – undertaking responsibility for pre-verification of insurance of patients being admitted; ensuring insurance coverage through telephone, solving all issues related to coverage, escalating complicated issues to the supervisor or manager, and completing all other tasks as needed.

To work in this capacity, the following skills are needed – prior work experience with insurance companies, extensive knowledge of different types of coverage and policies, excellent multitasking skills, the ability to work on many projects; detail-oriented and organized; the ability to focus and work quickly, and knowledge of insurance paperwork. A degree is commonplace among job applicants.

 

Insurance Verification Coordinator Resume example

Insurance Verification Coordinator Resume

Objective : Seeking an Insurance Verification Coordinator position within the company where skills and knowledge will be beneficial to the organization. Proficient in evaluating individuals and developing effective solutions for challenging behaviors.

Skills : Typing 50+ WPM, 10 Key by touch, Programs such as Microsoft Office, Siebel, Citrix, Oracle, PharmScreens/EPSROI, ICD9 & CPT Coding, Appointment Scheduling, Medical Terminology.

Description :

    1. Obtained drug donation through the hospital with the Director of Pharmacy.
    2. Transferred patients onto hospice care within contract policy.
    3. Performed site visits to hospitals instructing newly hired nurses on Chartwell's policy guideline for accepting new patients.
    4. Trained new employees within Chartwell.
    5. Assisted with the guidance of co-workers.
    6. Assisted billing department in appealing denials from insurance companies.
    7. Assisted Director of Nursing in collecting documentation for Medicare appeal hearings.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Associate In Information Technology


Insurance Verification Coordinator Resume

Objective : Looking to secure an Insurance Verification Coordinator position with a well-established organization that will allow utilizing excellent problem solving and creative leadership skills in a professional office environment.

Skills : Medical Asst, Phlebotomist, Office Coordinator.

Description :

    1. Communicated effectively with patients, referring physicians, vendors, and all Radiologic associates in a civil and professional approach.
    2. Completed verification of benefits for various health insurance companies.
    3. Obtained pre-authorization for medical services when necessary.
    4. Achieved accurate data entry skills, while utilizing a computerized healthcare system to insert medical information for each patient.
    5. Utilized telephonic voice response systems and health insurance websites to obtain information on patient's eligibility status.
    6. Contacted patients to obtain complete and accurate health insurance information; discuss eligibility outcome, and payment methods.
    7. Secured precise and thorough documentation with the completion of all essential paperwork in a timely manner under the established guidelines.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
AA In Business Accounting


Insurance Verification Coordinator Resume

Objective : Obtain an Insurance Verification Coordinator position as a team-player in a people-oriented organization where one can maximize medical experience in a challenging environment to achieve the corporate goals.

Skills : Microsoft Office, Medical Terminology.

Description :

    1. Called insurance carriers.
    2. Accessed insurance carrier and/or affiliated websites.
    3. Obtained eligibility and benefit breakdown.
    4. Entered eligibility and benefit breakdown information into a central database and/or other locations.
    5. Maintained performance.
    6. Reported to Manager any issues, trends, and/or challenges associated with eligibility and/or benefit.
    7. Interacted with fellow Eligibility and Benefits Team members in regards to best practices.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Diploma

Insurance Verification Coordinator Resume

Summary : 12 plus years in medical office experiences (medical records, insurance verification, authorizations, and backup customer service). Cultivate and maintain positive and productive relationships with all contacts through solid interpersonal and communication skills.

Skills : Restaurant Management, Strong Financial Background, Dental Office Experience, Customer Service, Clerical & Reception Duties, Inventory & Scheduling.

Description :

    1. Called insurance companies to verify benefit coverage for DME.
    2. Primary insurances and out-of-state coverage.
    3. Initiated any prior approvals and authorizations needed.
    4. Entered information into the system and recent dates.
    5. Kept track of expired recent and requesting new auth.
    6. Assisted billing with A/R reports with denials and reasoning.
    7. Assisted discharge planners, social service workers, outreach organizations, and family.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Medical Office Administration

Insurance Verification Coordinator Resume

Headline : Results-oriented UM Coordinator with a diverse background in management and customer service. Dedicated to providing excellent customer service and making operational and procedural improvements.

Skills : E-clinical, MS Office.

Description :

    1. Verified all incoming discharge patient insurance & benefits for home health and or hospice.
    2. Entered patient demographics into the McKesson database.
    3. Scheduled appointments for home health & hospice.
    4. Requested authorization from health plan/IPA.
    5. Answered incoming calls from providers & patients.
    6. Maintained a quota of authorization processes of 60 daily.
    7. Trained new employees and created notes for a guide.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Certificate In Medical

Insurance Verification Coordinator Resume

Objective : Have spent a number of years in the medical field with both hands-on and administrative duties. Not only understand what it takes to be an assistant but also how to lead others. Enjoy being in leadership roles within the medical setting.

Skills : Microsoft Word, Excel, Powerpoint, IDX, Nextgen.

Description :

    1. Correctly coded and billed medical claims for various hospital and nursing facilities.
    2. Precisely completed appropriate claims paperwork, documentation, and system entry.
    3. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
    4. Verified patients' eligibility and claims status with insurance agencies.
    5. Collected insurance benefits information such as deductible, out-of-pocket maximums, co-insurance, and co-pays.
    6. Verified coverage for specified CPT and ICD-9 codes.
    7. Responsible for prior authorizations, denials, and appeal processes with varying insurance companies.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Medical Assistant

Insurance Verification Coordinator Resume

Summary : A business professional with over 5 years of experience in the healthcare, finance, and telecommunications industry. Expertise includes insurance billing and coding to business acumen in insurance benefits and guidelines. Seeking to secure a challenging position where one can effectively contribute knowledge, education, and exceptional people skills while contributing to the betterment of the company.

Skills : ICD-10, Microsoft Office.

Description :

    1. Collaborated with two team members to re-structure the verifications department resulting in decreasing time from referral to verification of insurance coverage from +1 week to less than 24 hours.
    2. Improved communications with clinicians and rebuilt the previously negative relationship resulting in a more effective working environment, quicker resolution of issues, and development of creative solutions to unique insurance problems.
    3. Managed the insurance verification requests from 50+ clinicians for the delivery of Physical, Occupational, and Speech therapies to post-acute care settings in SNF, ALF, and NH facilities.
    4. Maintained protected health information files for each patient, both electronically and hard copy.
    5. Created reports at the request of management and executives reflecting benchmarks of time to verification, outstanding requests, and denied requests.
    6. Traced trends and collaborated with colleagues to develop solutions to increase patient acceptance.
    7. Obtained verbal and or written authorization for planned medical treatment from the appropriate sources.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma

Insurance Verification Coordinator Resume

Objective : Seeks to obtain an Insurance Verification Coordinator position where billing and collections experience can be leveraged to increase the success of the billing department.

Skills : Phlebotomy, Proficient in Microsoft Office, NextGen EMR, EPM & EHR, MediSoft, Allscripts PM, Cerner, HealthStream, Meditech, and HPF WebStation.

Description :

    1. Identified and obtained any information regarding patients needing pre-certification, authorizations, or referrals by pulling reports from the HPF Webstation system and NextGen.
    2. Verified Insurance for all scheduled procedures, inpatient admissions, and observation stays.
    3. Communicated with Admissions, Utilization Review, Business Office, Physicians, or their offices regarding any problems or additional information needed for authorization, referral, or pre-certifications.
    4. Utilized online verification and pre-certification systems.
    5. Contributed to departmental and patient satisfaction.
    6. Participated in department and hospital performance improvement plan.
    7. Helped to ensure patient satisfaction, physician satisfaction, and effective revenue cycle process.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Certificate In Medical Billing And Coding

Insurance Verification Coordinator Resume

Headline : Insurance Verification Coordinator professional with a history of, providing outstanding customer satisfaction, and identifying improvement opportunities to meet productivity and workplace goals through tactical planning for more efficient operations. Worked closely with physicians, case management, individual departments, and patients to verify insurance coverage.

Skills : MediSoft, Allscripts PM, Cerner, HealthStream, Meditech.

Description :

    1. Assisted in Patient Access DNB Discharge Not Billed Financial Clearing, experience in demographics, third party payor, Federal/State programs, commercial, and out of network.
    2. Cleared high dollar and Inpatient and Outpatient accounts by updating information.
    3. Followed up on pre-certifications on Inpatient Admissions.
    4. Followed up on referrals on outpatient surgeries, radiology, procedures.
    5. Assisted with outside groups from UCSD Medical Center such as clinical, hospital, physician's office.
    6. Worked with the Inpatient Team when needed for authorization and referrals.
    7. Experienced in Epic in patient access, Allscripts case management, IDX, Centricity Touch Works, Microsoft Office in excel, PowerPoint, and word.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
BS In Business Management

Insurance Verification Coordinator Resume

Objective : Detailed-oriented Insurance Verification Coordinator professional with over 17 years of experience in medical billing, medical claims analysis, health insurance enrollment, and verification.

Skills : Basic Data Entry, Billing, Customer Service, Typing 50 Wpm, Claims Processing, Claims Processing, Medical Terminology.

Description :

    1. Performed verification on accounts received from registration interfaces, patient letters, and patient information forms.
    2. Completed verification requests through contact with various insurance companies via phone, fax, and/or internet sources and makes changes as necessary.
    3. Updated accounts with info and correct financial class if needed.
    4. Created or updated patient accounts as well as registered patient visits.
    5. Performed daily counts of incoming mail and manage a monthly count of what is received.
    6. Operated systems: CB, children and university hospital epic, several insurance websites.
    7. Verified insurance eligibility and benefits for patients.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Diploma In Medical