Insurance Verification Specialist Resume Samples - Page 3

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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.

21

Insurance Verification Specialist/ Billing Specialist

Responsible for answering phone calls and scheduling patient appointments. Triages phone calls as necessary.

  • Pre-verification of insurance for new patients. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a manager.
  • Uses coded data to produce and submit claims to insurance companies
  • Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
  • Reviewing and appealing unpaid and denied claims
  • Verifying patient's insurance coverage
Candidate Info
9
years in
workforce
1
month
at this job
Nursing
22

Insurance Verification Specialist

Insurance Verification Specialists

  • Excellent written, oral, and communication skills
  • Verify all classes of insurance i.e.: Medicare, Medicaid and Commercial.
  • Complete monthly reports
  • Maintain a daily log of work completed.
  • Complete work request within a 24-48 hour turnaround time.
  • Communicate with collectors, IMS, and facilities for a full understanding of accounts.
Candidate Info
11
years in
workforce
7
years
at this job
HS
High School Diploma
Medical Billing
23

Insurance Verification Specialist

Obtain referrals and prior authorizations for various surgeries, high-tech radiology and diagnostic procedures

  • Communicate with physician offices and insurance companies on a daily basis to decipher authorization and referral requirements
  • Responsible for precepting and training new hires
  • CPT and ICD coding
  • Made SOPS and organized drives in Windows
  • Print HICFA 1500 forms
  • Schedule meetings and send meeting invites
  • Electronic medical records & dictations
Candidate Info
3
years in
workforce
2
years
at this job
AA
Business Administration
24

Insurance Verification Specialist/ Registration Specialist

DNB Work Edit Report- Work Discharged not billed accounts

  • Verify insurance, obtain pre-authorization and Research overlap claim for date of service
  • Update accounts requested from Customer Services Department .Enter data on the UB 92 report
  • Assist with referrals using ICD-9, CPT, HCPC's coding. Apply the appropriate Patient Accounting System insurance code for insurance plan, third party administrator, and/or payer on charge entry batches. Research and resolves correspondence from insurance carriers or patients concerning claims
  • Research claim processing logic to verify accuracy of claim payment, member eligibility and billing/payment status prior to initiation of appeal process
  • Process UB92, UB04 and CMS 1500 claims using Xactimed software
Candidate Info
13
years in
workforce
5
years
at this job
25

Insurance Verification Specialist

  • Initiate the admissions process for patient referrals by collecting demographic and insurance information on patients over the phone
  • Verify patient insurance for IV Home Infusion and obtain authorization if needed
  • Experience with commercial, Medicare, Medicaid, Workers compensation and No fault insurance
  • Process Medicare Drug claims through program CE2000
Candidate Info
23
years in
workforce
5
years
at this job
AA
Office Administration
26

Insurance Verification Specialist

Health Insurance Verification

  • Obtain insurance coverage and demographic information via various sources.
  • Add/update patient benefit information in IDX and verify existing information is accurate.
  • Benefit Coordination.
  • Collect claim information from insurance company/employer and generate case in IDX.
  • Knowledge of insurance company and products.
Candidate Info
9
years in
workforce
3
years
at this job
Hospitality Management
Medical
27

Insurance Verification Specialist

Data Entry of patient enrollment forms

  • Research and verify patient insurance information
  • Maintaining spreadsheets of medical and dental prior authorizations
  • Coordinate and organized provider's schedules, agendas, and patient visits
  • Provide patient follow up via email, fax, and phone
  • Maintaining HIPPA confidential records via filing system
Candidate Info
6
years in
workforce
3
years
at this job
AS
Associate of Science
BA
English, Legal Studies
28

Insurance Verification Specialist

Verify, interpret and document patient health insurance

  • Pre-register all Value Options patients
  • Document authorizations, clearances and follow up efforts
  • Maintain contact with patients and families to keep them informed of insurance clearances and/or coverage and issues
  • Submit family therapy without patient authorizations to Value Options
  • Submit medication management authorizations to Value Options
Candidate Info
24
years in
workforce
6
years
at this job
29

Order Processor and Insurance Verification Specialist

Extensive training and knowledge acquisition of all state insurance coverage types including: HMO, PPO, EPO, POS, Medicaid, Medicare, Tricare

  • Work with insurance companies to obtain coverage and requirements for insulin pump orders
  • Process insulin pump supply orders
  • Follow up with insurance companies regarding authorizations for supplies
  • Obtaining prescriptions and medical documents from physicians needed for supply orders
  • Handle inbound/outbound calls in order to assist customers with account/order challenges
  • Sales, Customer Service, Marketing
  • In charge of opening and closing multiple salons, timecards, money drops and all corresponding paperwork
  • Manage maintenance and cleaning of all salons
Candidate Info
4
years in
workforce
1
year
at this job
30

Patient Account Representative (insurance Verification Specialist)

Use telephone and online tools to verify patient insurance for outpatient dialysis in facility setting

  • Use CPT, ICD-9, and contract information to obtain correct benefit information
  • Load and adjust patient coverage in insurance management system (MIQS) as necessary
  • Request and obtain authorizations for treatment as necessary
Candidate Info
5
years in
workforce
2
years
at this job
HS
High School Diploma
BA
Sociology
MA
Political Science

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