Insurance Verification Specialist Resume Samples - Page 2

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Insurance Verification Specialists are employed by insurance companies to process insurance claims. Key responsibilities listed on an Insurance Verification Specialist include checking insurance information, performing data entry tasks, overseeing insurance claims reimbursements, and approving or denying claim processing. Eligible candidates for the job mention in their resumes qualifications like insurance claims expertise, analytical thinking, communication and writing skills, attention to details, and computer competencies. Successful resume samples make display of a college degree in a relevant field. On-the-job training is provided by most employers.

11

Insurance Verification Specialist

  • Verified patients eligibility and benefits coverage
  • Updated any change of insurance within computer system
  • Followed Medicare, Medicaid and Commercial Insurance guidelines for verification purposes
  • Obtained prior authorizations when needed
  • Contacted patients to verify orders as well as modified and collected copayments when necessary
  • Prepared and finalized orders for shipping department
Candidate Info
1
year in
workforce
8
months
at this job
Health Information Technology
Medical Billing & Coding
12

Commercial Insurance Verification Specialist

Investigate queries and complaints pertaining to dental insurances

  • Research insurance policies and verify benefits
  • Scan documents into charts and explain benefits to clinics
  • Train new hires
  • Aided customers with network outages and bill payments issues
  • Advertised products, services, and established new service accounts
  • Met the departments' quotas of 20 calls per hour, and up-sold new services and products
Candidate Info
4
years in
workforce
2
years
at this job
HS
High School Diploma
13

Insurance Verification Specialist

Verify medical benefits and eligibility to determine if various products are covered by insurance company.

  • Verify out of network/in network benefits with insurance companies such as, United Health Care, Well care, and Medicare.
  • Make 50-100 daily outbound calls to customers and insurance companies for updates of medical insurance information.
  • Assist customers with finding products covered by their insurance.
  • Continuously update myself with guidelines of HIPPA policies and regulations also remain knowledgeable with new products and its functions.
Candidate Info
5
years in
workforce
3
years
at this job
Business Mgmt And Administration
14

Insurance Verification Specialist

Complete insurance verifications to determine eligibility, co-pays, co-insurance and deductibles

  • Contact patients to collect co-insurance and deductible if applicable
  • Document insurance benefit verifications into patients accounts and through tasks for billing, clinical staff, and management
  • Enter patients insurance information in Greenway when necessary
  • Code using CPT and ICD-9 codes for specific procedures, surgeries, and intrauterine devices
  • Collect past due balances by charging patients stored credit cards on file in Phreesia database
  • Assist in scheduling mammography appointments: check patient's previous mammogram results and look into history and physical and make sure patient has not had breast cancer or mastectomies.
Candidate Info
13
years in
workforce
2
years
at this job
AAS
Health Information Technology
15

Insurance Verification Specialist

Verifying insurance eligibility and benefits for patients of the healthcare facility.

  • Obtaining verbal and written authorization for planned medical treatment of patients from appropriate sources.
  • Validating insurance information of patients for accuracy and completeness; resolving all discrepancies as needed.
  • Operates basic functions and features of common e-health systems, such as Virtual, Works with an Internet-based healthcare information system. (Navinet, Zirmed, Availity)
  • Create verification note explaining benefits and other necessary information.
  • Update Sales Staff with pertinent information.
Candidate Info
4
years in
workforce
2
years
at this job
College Prep
16

Patient Access/insurance Verification Specialist

  • Provided financial counseling and highly personalized customer service to the 50,000 seniors and homebound patients who comprise the Visiting Physicians Association.
  • Resolved patient complaints regarding medical services in a sensitive and empathetic manner.
  • Performed registrations and insurance verification for incoming patients.
  • Verified relevant medical diagnoses while maintaining HIPAA compliance.
  • Headed a pilot program for Podiatry/Specialist referrals within the Patient-Access department.
Candidate Info
4
years in
workforce
1
year
at this job
BA
Honors Psychology
17

Insurance Verification Specialist

Contact insurance insurance companies to verify primary and secondary insurance coverage for both in-network and /or out of network physical therapy benefit coverage.

  • Researched benefits available on internet web sites
  • Obtain initial prior authorizations/pre-certifications as required by patients' insurance plan.
  • Entered clear and concise documentation of all calls and benefits information into the current billing system.
  • Coordinate information from the patient, clinical staff, front office staff, physicians office, and employers as needed to complete the verification process.
  • Adhered to all HIPPA rules and regulations.
Candidate Info
19
years in
workforce
5
years
at this job
18

Medical Coder & Biller and Insurance Verification Specialist

Processing insurance claims for six long term care facilities

  • Contacting commercial, private and governmental insurance companies to get claims paid
  • Coding hospice and skilled patience via EMR
  • Following up daily with the Nusing facility's business office to assure that patients are billed correctly
  • Experienced billing Medicaid, Medicare, Commercial insurance and their TPA's
  • Familiar with CMS 1500s, ICD-9 & HCPC/Modifiers, Timely Filing and Prior Authorizations
  • Closing out A/R, mailing bills and collecting on past due accounts.
Candidate Info
6
years in
workforce
1
year
at this job
Medical Coding & Billing
19

Insurance Verification Specialist/registrar

Verified all commercial insurance, workers' compensation insurance and state insurance programs by telephone or online means

  • Determine patient's estimated financial responsibility if applicable
  • Counsel patients on financial responsibility and set up payment schedule prior to scheduled visit
  • Work with community resources to provide financial assistance to patients
  • Obtain precertification for hospital inpatient admissions
  • Responsible for training department personnel on current insurance policies and regulations within the industry
  • Resolved disputes in collaboration with contract administrators
  • Helped research and manage denial reports and appeals process
  • Maintained high work volume while meeting all required deadlines
  • Investigated and resolved inquiries and complaints pertaining to insurance and billing
Candidate Info
15
years in
workforce
4
years
at this job
BA
Criminal Justice
20

Insurance Verification Specialist

Efficiently gathers and inputs patient/guarantor's demographic and financial information.

  • Contacts appropriate payers, verifies benefits and obtains necessary authorizations.
  • Coordinates patient services and information with case managers.
  • Identifies customer service issues and resolves or initiates necessary follow-up.
  • Explains necessary forms to and obtains signatures from patient/guarantor; answers basic customer billing questions.
  • Utilizes appropriate reports to contact insurance payers for resolution to accounts that are pending or denied.
  • Documents insurance benefits, co-payments, deductibles and self-pay portions in the account to allow for collections due.
  • Pre-registers patients scheduled for medical services through Central Scheduling.
Candidate Info
14
years in
workforce
9
months
at this job
AS
Criminal Justice

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