Verification Specialist Resume Samples

A Verification Specialist works normally for insurance companies and undertakes the task of processing insurance claims. A well-drafted Verification Specialist Resume indicates the following duties – checking insurance information, overseeing insurance claims reimbursements; approving or declining claim processing, and ensuring data entry correctness and accuracy; offering recommendations to management for improvements; reviewing and resolving discrepancies, and completing related paperwork. The job duties also include enforcing integrity policies and procedures among employees.

Those seeking to work as specialists should denote the following skills and abilities – remarkable experience working with insurance companies; huge knowledge of insurance company working and processes; familiarity with word processing software; superior interpersonal and listening skills; and insurance claims expertise. Successful resumes make a display of a college degree in relevant fields. Relevant work experience is also required.

 

Verification Specialist Resume

Objective : A Goal driven, experienced, and dedicated Healthcare worker, soon to complete B.S. degree in Healthcare Administration. Thirteen years related hands-on experience in a fast-paced healthcare industry. Excellent communication skills with a high level of customer service experience. Provide quality customer service for patients, directors and staff. Provide positive support, and helpful attitude when interacting with all departments in the hospital (social workers counselors, directors, doctors, and UR nurses).

Skills : Outlook, Microsoft Windows, Excel, Time Management, Problem Resolution, Leadership, Adaptability.

Description :

    1. Verify benefits for patients that are seeking admission.
    2. Verify commercial insurance, Medicare, Medicaid, HMO, PPO Liaison between insurance companies, UR nurses, and Social workers Responsible for collecting copayments, deductibles, and made payment arrangements as needed.
    3. Responsible for making sure that all the patients' stays are fully authorized.
    4. Report any denials or exhaustion of benefits to the Director of finance.
    5. Compliant with HIPPA guidelines and privacy practices.
    6. Patient confidentiality and patient's rights Train new employees Negotiate rates with insurance companies.
    7. Work closely with the Director of Finance and Director of Admissions.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Business Administration


Benefit Verification Specialist Resume

Objective : Conscientious, responsible self-motivated individual with in depth knowledge of all commercial insurances and government health programs that provides assistance to patients professionally and provides the highest level of services in a fast paced environment.

Skills : Customer Service, Training & Development, Management.

Description :

    1. One of the largest background screening companies in the world.
    2. Servicing thousands of businesses worldwide.
    3. Served on the adjudication team where the background checks were proofed and formatted to proper standards for each client.
    4. Served on the specialist team that checked over client specific instructions made for our company standards.
    5. Made outbound calls to collect information and verify applicant employment and academic enrollment.
    6. Transferred verified information from faxes and emails to verification page for it to be proofed and formatted.
    7. Helped with training of other proofers and verifiers in the company.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Marketing


Placement Verification Specialist Resume

Objective : Over 8 years experience in customer service and office management. A quick learner with excellent human relations skills. Easily establishes rapport with clients and colleagues. Experience & Qualifications.

Skills : Microsoft Office, SAP, Cyzap, Salesforce.

Description :

    1. Contact educational institutions to verify educational information (diploma, degrees, certifications, etc.) as provided by the candidate.
    2. Contact employers to verify employment information (salary history, dates of employment, job titles, responsibilities, etc.) provided by the candidate.
    3. Search websites to verify specific Licenses or Credentials provided by the candidate.
    4. Contact professional references to support / verify information provided by the candidate.
    5. Contact personal references to support / verify information provided by the candidate.
    6. Receive incoming calls from educational institutions, employers, references that provide verification information.
    7. Properly document results of each verification attempt.
    8. Properly route work through the verification process.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Diploma

Insurance Verification Specialist Resume

Objective : Retail sales professional versed in product placement and merchandising. Extensive experience in inventory management and shipment processing. Expert retail sales professional offeringyears experience in retail customer service and retail management. Focused on exceeding sales goals. Punctual retail sales professional focused on exceeding expectations and building customer loyalty. Flexible schedule and strong mathematical aptitude.

Skills : Communication And Merchandise.

Description :

    1. Defused volatile customer situations calmly and courteously.
    2. Accurately documented, researched and resolved customer service issues.
    3. Mastery of customer service management systems and databases.
    4. Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
    5. Identified chronic customer issues by creating and maintaining customer complaint log.
    6. Resolved service, pricing and technical problems for customers by asking clear and specific questions.
    7. Oversaw call center employees to ensure customer satisfaction goals were consistently met.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
High School Diploma

Loan Verification Specialist Resume

Objective : To obtain employment in an increasingly responsible and challenging position that allows me to utilize my current skills while also learning new ones.

Skills : Motivated Self-starter With A Strong Desire To Learn.

Description :

    1. Demonstrated ability to multi-task; simultaneously navigate several websites.
    2. Search and obtain pertinent data with regard to diverse testing results.
    3. Verify valid driver's license and traffic history.
    4. Maintain timely informative communication with clients pertaining to file status.
    5. Provide outstanding customer service in response to up to 50 incoming calls.
    6. Review applicants address history; determine missing states and search criminal records.
    7. Verify professional licenses, earned degrees, and previous employment history.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Diploma

Data Verification Specialist Resume

Objective : Consultative professional with over 8 years of experience in both large and small business environments, shaping organizational infrastructure, implementing policies and best practices. Demonstrated success in financial analysis, resource assessment, strategic planning, training development, program management, and research. Effectively employ both a personable and pragmatic nature to build long-term relationships, become a trusted advisor, exact influence, craft mutually beneficial solutions, and set and achieve goals.

Skills : Proficient In Microsoft Office.

Description :

    1. Analyze confidential data annotated on the Federal Application for Federal Student Aid (FAFSA) using documents submitted by students and parents alike, in order to reconcile the material and confirm accuracy and completeness.
    2. Provide direction and guidance to colleagues regarding federal updates and modifications concerning the verification processes.
    3. Maintain communications with students and parents regarding missing or incomplete documentation required to resolve any issues impeding the verification process.
    4. Operate several federal and private software programs, such as Banner and FAA Access, simultaneously to confirm that every student receives maximum benefits with respect to federal regulations.
    5. Collect required verification documents and also monitor the verification documentation database by reviewing documents that are submitted and/or uploaded.
    6. Audit reports generated by interpreting and analyzing the data of over 5,000 students to ensure that the correct amount of federal financial aid funds is posted to the students' accounts.
    7. Resolve any discrepancies presented after students have completed the FAFSA packages.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Master's In Accounting

Employment Verification Specialist Resume

Headline : Team oriented, dependable, conscientious 15 years of banking experience 6 years of auto insurance experience including escrow accounts, debt protection insurance, mortgage loan documentation experience, auto policy endorsements, processing cancellation and reinstatement policies. Willing to take on additional responsibilities, enjoys learning, thorough, and will do what is necessary to get the job done. Effective communicator who takes the initiative to keep customers and managers informed.

Skills : AMS 360, Premium Finance System, Lite Excel, Microsoft Office.

Description :

    1. Checking the accuracy and completeness of documents and transactions, generated by stores when an agent sells third party products.
    2. Assigned on a daily basis, a list of policies that have to be verified through various carrier website, Finance Pro and AMS 360.
    3. Responsible for score carding and agents who: Fails to attach required documents.
    4. Attaches incomplete documents or incorrect documents.
    5. Responsible for correcting, in AMS 360: Policy terms date, Invoices posted for incorrect amounts and Policy numbers entered incorrectly.
    6. Checking the accuracy and completeness of documents and transactions, generated by stores when an agent sells third party products.
    7. Assigned on a daily basis, a list of policies that have to be verified through various carrier website, Finance Pro and AMS 360.
    8. Responsible for score carding and agents who: Fails to attach required documents.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Marketing

Verification Specialist III Resume

Summary : Dynamic customer service specialist experienced in both call-center and retail store settings. Maintains high professionalism and patience. Excels in listening to customer's needs and addressing customer's concerns with speed and accuracy, with a proven capacity to troubleshoot issues to insure customer satisfaction.

Skills : Microsoft word, Power Point, Windows XP,Vista, Windows.

Description :

    1. Quality audit incoming official academic documents and medical school applications for completeness, authenticity, and accuracy.
    2. Research, analyze, and evaluate applicant and institution data.
    3. Ensure applicants meet AMCAS and FAP program requirements.
    4. Acquire and retain thorough current knowledge of AMCAS and FAP policies and procedures.
    5. Perform in-depth evaluation of applicant information using testing and automating software such as PHPUnit and Selenium to test for and recreate application bugs.
    6. Use Jira to track, monitor, and manage application bug reports.
    7. Investigate and resolve verification-process inquiries and issues.
    8. Validate interpretation of applicant information, undergraduate and graduate grading, credit systems, and transcript symbols through communications with applicants and college/university registrars.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
International Relations

Verification Specialist Lead Resume

Objective : Currently looking for a full time position in an environment that offers a greater challenge, increased benefits for my family, and the opportunity to help the company advance efficiently and productively.

Skills : Microsoft Office, Pharmacy Billing.

Description :

    1. Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual's provider.
    2. Responsible for entering data in an accurate manner, as it is his job to update patient benefit information in the organization's insurance system and verify that existing information is accurate.
    3. Requires professionals to spend extensive amounts of time on the phone with insurance companies.
    4. Valuable resource to patients, providing them with pertinent information regarding their coverage.
    5. Works with patients to explain coverage amounts provided by their insurance policy, so they can understand why some procedures may be covered, while others are not.
    6. Helping patients arrange payment for services that are not covered by their insurance companies, discussing different financing options to fit their budgets.
    7. Perform light administrative duties as needed.
    8. Developmental Disabilities Institute 99 Hollywood Drive.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Diploma

Benefits Verification Specialist Resume

Objective : Enthusiastic Nursing major with excellent communication skills and strong motivation to succeed. I have four years of experience with behavioral mentally disabled adults, two years of experience assisting the elderly with daily needs and seven years taking care of children.

Skills : Microsoft Office, Mac OS X, Mac OS X.

Description :

    1. Responsible for processing all types of employment background screenings, based on products and services TalentWise provides to our clients.
    2. Manage outbound calls while delivering exceptional customer service.
    3. Utilize email, web-sites and a variety of other systems to complete the work.
    4. Interact with a variety of contacts as part of completing the process.
    5. Provide phone and email customer support for all types of contacts that use our products and services.
    6. Responsible for adhering to all policies and processes for Verifications.
    7. Responsible for retaining and accessing all required information for the products and processes.
    8. Responsible for adhering to all productivity and quality standard established for Verifications.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Elementary Education

Verification Specialist II Resume

Objective : Self-Reliant professional with a dedicated work ethic and over five years experiences in both Corporate and private business. Proven ability to build and strengthen client relationships with an understanding of conflict resolution. Strong management skill set overseeing projects and directing the correct course of action. A goal oriented individual with strong leadership traits adept to handling diverse work environments.

Skills : Knowledgeable in Accounting Software, Proficient in Microsoft Word, Excel & PowerPoint, Experience in handling confidential paperwork and information, Great verbal and written communication skills, Fluent in English and Spanish.

Description :

    1. Oversaw the Southern California regions responsibilities.
    2. Worked closely with AE's and RSD's to increase sales and brand recognition among the medical community through multiple strategic solutions.
    3. Lead special projects gathering and analyzing information to develop marketing concepts for top contracts.
    4. Communicate regularly with top medical practices building relationships and educating on our products and services.
    5. Serve as a liaison for customer inquiries and feedback.
    6. Relay relevant information to support our sales team and improve their customer interactions.
    7. Verify eligibility and expenses through multiple computer systems.
    8. Handle platinum accounts under time sensitive deadlines.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Business Administration

Verification Specialist Resume

Objective : A hard working individual seeking a position as a Medical Insurance Specialist with opportunities for advancement in the future.

Skills : HIPPA Training.

Description :

    1. Verified and coordinated patients medical insurance benefits for 6 Gastroenterologists in the Plano area.
    2. Worked closely with Medical Center of Plano hospital personnel to get preauthorizations & precertifications for patients needing outpatient procedures.
    3. Helped medical assistants and schedulers with MRI and CT scan authorizations.
    4. Responsible for capsule endoscopy authorizations Responsible for obtaining referrals from primary care doctors.
    5. Answered patient's calls inquiring about insurance coverage, coordination of benefits, and doctor fees for office visits and procedures.
    6. Consistently stayed ahead to catch problem situations like termed insurance plans, out of network coverage, grace period policies to effectively insure claim payment.
    7. Skills Used Customer service skills, Excellent Communication skills, Able to work as a team or Independently, Self Motivated.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Education