We provide IT Staff Augmentation Services!

Insurance Verification Specialist Resume

3.00/5 (Submit Your Rating)

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

We'd love your feedback!