Insurance Verification Specialist Resume
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Arlington, VA
Objective:
Certified Insurance & Coding Specialist seeking a challenging position in a career orientated clinic/hospital.
SKILLS:
- Knowledge of grammar, spelling, punctuation, and the correspondence format.
- Knowledge of common clerical practices and procedures used in an office setting.
- Knowledge of the office's functions and procedures used to provide administrative services
- Experience assisting in researching, gathering, and producing materials for use in meetings
- Experience processing paper documents to be converted into electronic documents
- Experience managing a correspondence and assignment tracking system
- Knowledge of medical insurance claims.
- Ability to manage and impart confidential information.
- Word processing and data entry skills.
- Ability to gather data, prepare reports and compile information.
- Excellent ability for verification of data input and correct errors.
- Excellent skills to maintain records.
- Computer literate and able to navigate the Internet
- Ability to perform ambulance billing activities.
- Knowledge of medical terminology
- Effective Oral & Written communication skills
- Good organizational skills
SUMMARY OF QUALIFICATIONS:
- Medisoft Network Professional Version 17
- Encoder Pro Version
- Electronic & Manual Submission of Claims
- Explanation of Benefits Form
- CMS 1500 Claim Form
- UB - 4 Claim Form
- Data Entry
- HCPCS Level II
- ICD-9-CM 2010 Volumes 1, 2, 3
- CPT 2010
- 60 WPM Typing Speed
- Advance Internet Skills
- MicroSoft Office Suite 2013
- Windows 7 Professional
- Windows XP & Windows Vista
WORK EXPERIENCE:
Insurance Verification Specialist
Confidential, Arlington, VA
Responsibilities:
- Answer telephones and direct calls to staff
- Ascertain purpose of visit, and direct them to appropriate staff
- Transmit correspondence or medical records by mail, e-mail, or fax
- Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet
- Coordinates and performs verification of insurance benefits by contacting insurance provider
- Determining eligibility of coverage
- Communicates the status of verification/authorization process with appropriate team members
- Maintains tracking of patients on schedule, ensuring that eligibility and authorization information
- Contacts parents/guardians regarding co-payment amounts prior to service date.
- Responds to all inquiries from throughout the system and outside related to authorization/pre- certification issues.
- Collaborates with Appeals department to provide all related information to overturn claims denied.
Office Assistant
Confidential, Temple Hills, MD
Responsibilities:- Answered high volume of calls, directed calls, scheduled appointments
- Paid close attention to accuracy
- Updated records, copied, filed documents
- Filled out necessary forms manually and electronically
- Received and interacted with clients to provide information in a timely manner
- Handled various monetary transaction
- Maintained and monitored inventory
- Assisted and directed clients providing excellent customer service skills
- Successfully organized appointments between employees and clients.
- Accepted and distributed messages and mail to proper employees
- Basic record keeping and records of minutes at staff meetings
- Support for human resources actions
- Assist with the execution of direct mail and bulk mail projects
Intern
Confidential, Clinton, MD
Responsibilities:- General office administrative duties
- Scheduled appointments for patients using Office Hours
- Filing, creating and maintain medical records
- Created reports and spreadsheets
- Resubmitted denied claims
- Verified Insurance benefits and eligibility
- Input new patient and established patient information using Medisoft
- Collected Co-payments and Co-insurance
- Posted Cash, Credit and Check Payments from EOB's
- Post and reconcile payments to patient ledgers
- Assist in preparing documentation and responses for legal inquiries
- Ensured strict confidentiality of financial records
- Monitor unpaid claims and initiated tracers
- Followed up on submitted claims
- Patient Check -in and Check- out