Insurance Verification Specialist Resume Samples

An Insurance Verification Specialist will undertake the responsibility of double-checking the patient’s medical insurance status. The primary task is to make sure the patient’s insurance policy covers the required medical procedures and hospital stays. Other duties are listed on the Insurance Verification Specialist Resume as follows – verifying patient medical information, billing, and medical coding; conducting claims examinations; performing data entry tasks, checking insurance information, overseeing insurance claims reimbursements; approving and denying claim processing.

Key skills listed on a resume include – insurance claims expertise, experience working with insurance companies; extensive knowledge of different types of coverage and policies, excellent multitasking skills, and the ability to maintain accurate patient insurance records. Successful resumes make a display of a relevant degree preferably in areas such as insurance, finance, economics or the related. Prior work experience will be useful.

 

Insurance Verification Specialist Resume

Objective : Organized, dedicated and detailed oriented employee. Excellent communication skills with vendors, customers and management. Expert in web navigation and training for customer usage. Highly fluent in market research and data analysis. A sensible professional who demonstrates the ability to perform well under pressure in a multifaceted environment.

Skills : Customer Service Skills, Customer Service Skills, Microsoft, Microsoft, Office Management, Medical Billing, Medical Billing.

Description :

    1. Answer telephones and direct calls to appropriate staff.
    2. Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
    3. Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
    4. Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.
    5. Interview patients to complete documents, case histories, or forms, such as intake or insurance forms.
    6. Receive and route messages or documents, such as laboratory results, to appropriate staff.
    7. Transmit correspondence or medical records by mail, e-mail, or fax.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
AAS In Liberal Arts


Insurance Verification Specialist/Medical Biller Resume

Objective : Seeking a new challenge in a progressive organization that offers opportunities for advancement. I would like to obtain a position where I can utilize my clerical, computer and medical skills.

Skills : Customer Service, Attention To Detail, Bilingual-Spanish, Microsoft Excel, Word & Access, Delair, HERO, Claim Form Fax, Filenet Web Services, Gizmo, Port, Bizflow, Centricity, Epic, Velos, MOMs, IDX, Cisco Agent.

Description :

    1. Verified patient eligibility and benefit package information via phone or online services for Family Practice and Cancer Therapy Research Center in advance for appointments.
    2. Entered/updated demographics into Epic and IDX for new/established patient accounts.
    3. Obtained insurance information necessary for various clinical services or procedures.
    4. Obtained needed information from PCP and HMO payers' to initiate manage care authorizations allowing no more than 48 hours for completion.
    5. Worked closely with clinic managers and/or designated person regarding issues with scheduling or insurance.
    6. Advised supervisor of any pending or possible issues.
    7. Accepted incoming calls from multi specialty clinics for verification purposes for walk-in patients utilizing Cisco Agent.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Medical Assistant


Insurance Verification Specialist/Customer Service Specialist Resume

Summary : To secure a position as a medical biller/claims examiner with a well-established organization with a stable environment that will lead to a lasting relationship in the field of healthcare and its administrative tasks.

Skills : Microsoft Outlook, Microsoft word And Excel.

Description :

    1. Verify patients coverage for specific medical supplies.
    2. Spend a lot of time on the phone with various insurance companies to see what coverage each individual has, whether supplies are covered or need authorizations.
    3. Spend a great amount of time reaching out to dr's to obtain referrals, and request clinical documentaion.
    4. Input accurate patient demographics and insurance information into patients files.
    5. Input proper documentation and insurance notes into patients files.
    6. Work medical supply orders in a timely manner.
    7. Collect payments for patients who choose to pay for supplies when they are not covered.
    8. Provide excellent customer service to our patients.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Senior
Education
Education
Medical Assisting

Insurance Verification Specialist/Assistant Biller Resume

Objective : Responsible office manager with excellent communications skills demonstrated by 25 years of experience with a very busy OB/GYN office. I can perform any position in a medical office. I am professional, dedicated and have outstanding work ethics. C.

Skills : Insurance Verification Experience Call Center Background Healthcare Experience Excellent Verbal & Personal Communication Skills Strong Organizational, Interpersonal, Communication Skills And Problem Solver Who Readily Adapts To Change, Works Independently And Exceeds Expectations.

Description :

    1. Handle client/patient questions, complaints, requests or inquiries with the highest degree of courtesy & professionalism, with the goal of one-call resolution & patient retention.
    2. Maintain a working knowledge of all CPAP products & services, as they may be required to work in one or more divisions or skill sets.
    3. Conduct inbound and/or outbound calls to patients, doctors' offices, insurance companies as necessary or required to complete tasks.
    4. Respond to telephone inquiries (inbound/outbound calls): ascertain patient needs; respond appropriately & with urgency to patient requests, questions, complaints & concerns.
    5. Provide patients with accurate, timely, and satisfactory solutions to potential & arising complaints & concerns about their orders, devices, usage, and physician-ordered prescription(s).
    6. Overcome objections & effectively resolve customer concerns with the goal of retaining patient accounts.
    7. Receive & ensure appropriate processing of verbal & written/mailed orders.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Business Administration

Insurance Verification Specialist II Resume

Summary : To find a position that will allow me to utilize my research and organizational skills to their fullest potential while working family friendly and support work environment.

Skills : Customer Service Skills, Customer Service Skills, Microsoft, Microsoft, Office Management, Medical Billing, Medical Billing.

Description :

    1. Completion of insurance verification on all scheduled outpatients.
    2. Obtaining correct insurance information and benefits.
    3. Maintain list of requirements from various insurance companies.
    4. Obtaining authorizations on all inpatients.
    5. Register sleep study patients Provide Outpatient Surgery Department with pre-registration paper-work.
    6. Provide Outpatient Registration with daily surgery reports.
    7. Patient Services Representative To ensure timely registration of all scheduled and non-scheduled patients.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Dental Assisting

Insurance Verification Specialist III Resume

Summary : Motivated leader with strong organizational and prioritization abilities. Providing thorough and skillful work. Experienced in reviewing and analyzing files across multiple functions. A self-starter, capable of working well independently or with a team. Proven interpersonal, communication and multi-tasking skills; juggling multiple priorities in an effort to meet constricting deadlines without compromising quality.

Skills : Analytical, Microsoft word, Management, Insurance Verification, Social media.

Description :

    1. Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
    2. Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments as well as actions taken.
    3. Review insurance policy terms to determine whether a particular loss is covered by insurance.
    4. Determine charges for services requested, collect deposits or payments or arrange for billing.
    5. Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
    6. Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
    7. Recommend improvements in products, packaging, shipping, service, or billing methods and procedures to prevent future problems.
    8. Lead a Team of 5 representatives in their daily functions.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
High School Diploma

Insurance Verification Specialist I Resume

Objective : Talented insurance verification specialist; reliable, efficient, self-starter; strong organizational skills, and a thorough knowledge of many insurances and medical computer programs. Excels at multi-tasking and completing projects within deadlines.

Skills : Bilingual.

Description :

    1. Gathered accurate and current insurance and demographic information to ensure clean billing status of patient encounter.
    2. Called individual insurance carriers and utilizes online verifications services to verify benefits.
    3. Entered all insurance and demographic information into system.
    4. Answered all health center staff questions on insurance eligibility and benefits.
    5. Ran patient schedule reports with scheduled intervals to ensure that benefit/eligibility problems can be identified and resolved with center before date of service.
    6. Provided all information (i.e., co-payments, benefit limitations, deductibles, etc.) to locations in the form of "alert notes" via the computer system.
    7. Obtained authorizations when necessary for procedures performed at the locations.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Diploma In Phlebotomy

Insurance Verification Specialist Lead Resume

Objective : Experienced customer service professional within the call center environment. Experienced with inbound/outbound calls. Excellent written and verbal communication skills, self-starter, team player, dedication to problem resolution and exceeding customer satisfaction.

Skills : 75-80 wpm, Microsoft word, excel, power point. great customer service. EMD's software.

Description :

    1. Verified patient insurances for radiological and surgical procedures.
    2. Obtained information from major insurance companies on co-pays, deductibles, and co-insurance rates for surgical and non-surgical procedures.
    3. Obtained and initiate medical authorizations for surgical and non-surgical procedures using CPT-4 and ICD-9 codes obtained from the physician's office's, payors, and other hospital and non- hospital personnel.
    4. Discussed authorization issues with physician offices, payors, and hospital and non-hospital personnel.
    5. Performed registration for inpatient, outpatient, and emergency room services.
    6. Concierge reception for all patients that are visiting the Patient Access Department.
    7. Verified and collected co-pays from patients in the emergency room and discussed the previous billing with patients.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
AA In General Studies

Senior Insurance Verification Specialist Resume

Headline : To obtain a challenging administrative position in a professional environment providing opportunity for growth and career advancement.

Skills : Microsoft Office.

Description :

    1. Proactive communication with clients, customers, and vendors via telephone, e-mail, or regular mail.
    2. Verified patient insurance coverage, to ensure necessary procedures are covered.
    3. Initiate prior authorization for durable medical equipment.
    4. Communicate and educate patients, reps and MD office on coverge amounts provided by their insurance policy.
    5. Maintain follow ups with patients, MD office, reps as well as insurance companies.
    6. Educated in keeping patient accounts confidential with HIPPA regulations.
    7. Established and maintained relationships through subcontracting adjusters as well as workers compensation.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Diploma In Supervision

Senior Insurance Verification Specialist Resume

Headline : Detailed oriented and quality focused professional trained in customer service. Successful track record of handling complicated assignments and administrative/clerical requests. Dedicated to maintaining strict customer/patient confidentiality.

Skills : Microsoft Office, Microsoft Word, Ms Word, Microsoft Excel, Marketing, Management, Adobe Photoshop, Account Management, Accounting, Web Design, Computer Skills, Communication, Powerpoint, Problem Solving.

Description :

    1. Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
    2. Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
    3. Review insurance policy to determine coverage.
    4. Contact insured or other involved persons to obtain missing information.
    5. Protect the security of medical records to ensure that confidentiality is maintained.
    6. Review records for completeness, accuracy, and compliance with regulations.
    7. Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
    8. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Consultant
Education
Education
Accounting

Insurance Verification Specialist Resume

Summary : Dedicated, detail oriented, and experienced professional with excellent communication skills interested in obtaining a new and challenging position that would benefit from and heighten my education and skills.

Skills : Insurance verification experience Call center background Healthcare experience Excellent Verbal & Personal Communication Skills Strong organizational, interpersonal, communication skills and problem solver who readily adapts to change, works independently and exceeds expectations.

Description :

    1. Billed insurance claims Charge entry Handled receptionist duties on a multi-line switchboard.
    2. Provided customer service support to the patients.
    3. Performed administrative tasks that including scheduling and filing.
    4. Served as accounts payable/accounts receivable as needed.
    5. Performed supervisor duties when current supervisor was not available and/or absent.
    6. Collected and entered payment into the office computer system.
    7. Provided collection calls to insurance companies and patients when bills were outstanding.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
HRM

Insurance Verification Specialist Resume

Objective : Skilled, dedicated, reliable and professional with over 29 years in the Healthcare Industry Highly focused, caring and self-motivated Excellent customer service skills with people of all ages, showing patience and compassion Quality driven, looks for efficiencies and abides by regulations from Government Healthcare agencies Worked in Medical Clinics, Hospitals, Insurance Companies.

Skills : Microsoft Office, Customer Service.

Description :

    1. Utilizes all available resources to obtain and enter insurance coverage information for services into patient's file.
    2. Verifies patient insurance coverage of medications, administration supplies and related pharmacy services.
    3. Facilitates and completes the prior authorization process with insurance companies and practitioner offices.
    4. Completes a full medical verification for all medications.
    5. Notifies patients, physicians, practitioners and/or clinics of any financial responsibility of services provided and requested services not provided by the facility.
    6. Provides notification of urgent orders to the senior level or group supervisor and communicates with other departments when an urgent need for filling a prescription or delivery is necessary.
    7. Places outbound calls to patients or physician offices to obtain additional information.
    8. Manages inbound calls on the insurance line from patients, clients, & physicians regarding inquiries about services provided, financial responsibility and insurance coverage.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
General