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Insurance Verification Specialist Resume

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Everett, WA

SUMMARY:

  • I am seeking a career where my customer service experience, problem solving and communication skills will be able to enhance your company while enriching my portfolio.
  • Excellent interpersonal relationship skills with clients and staff. Goal oriented and eager to learn.
  • I enjoy customer/client driven work.
  • CPR and blood borne pathogen trained.

SKILLS:

  • MB Skills
  • Patient Billing
  • Claim Gear
  • Medical Insurance and Claims Processing
  • Medisoft
  • Anatomy and Physiology
  • MS Word/Excel
  • Human Disease and Conditions
  • Medical Terminology
  • Electronic Claims Submission
  • Communication Skills
  • Bioethics
  • ICD - 9, CPT, HCPCS Coding
  • CMS 1500 and UB-04
  • HIPAA/OSHA training
  • Charge entry and payment positing
  • Medical Law and Ethics
  • EOB reconciliation, A/R Recovery techniques

EXPERIENCE:

Confidential, Everett, Wa

Insurance Verification Specialist

Responsibilities:

  • Verified insurance prior to check in.
  • Called insurance companies to obtain prior authorization, rectified outstanding charges, verified current eligibility and verified accuracy of benefits.
  • Also obtained written prior authorizations.
  • Updated benefit information as needed.
  • Spoke to patients to resolve any benefit related issues.
  • Knowledge of OfficeAlly, ProgoCis and Benchmark systems.
  • Performed light filing duties.

Confidential, lynnwood, WA

Medical Biller and Coder

Responsibilities:

  • Called insurance companies for referrals, attached and scanned financial agreements, corrected claims, predetermination, pulled charts and filing
  • Completed courtesy calls, followed up on appeals, called Medicare and L&I, scanned EOB’s, knowledge of CompuLink and Excel

Confidential, Lynnwood, Wa

Insurance Verification Specialist

Responsibilities:

  • Assisted clients with day to day activities.
  • Encouraged outings in the community.
  • Responsibilities included but were not limited too;
  • Assisting with the Activities of Daily Living.
  • Placed medication orders, received medication orders, and was nurse delegate to give medication.

Confidential, Sunset, La

Insurance Verification Specialist

Responsibilities:

  • Placed and received orders.
  • Balanced cash drawer and credit receipts.
  • Responsible for checking identification and for maintaining control of patrons.
  • Opened and closed bar areaIndiana

Confidential, Terre Haute, IN

Insurance Verification Specialist

Responsibilities:

  • Maintained upkeep of two dormitory floors and the common areas;
  • Operated industrial washers, dryers, buffers and cleaning equipment as needed.
  • Kept open communication with floor managers and supervisors.

Confidential, Terre Haute, IN

Insurance Verification Specialist

Responsibilities:

  • Supervised team of 15 - 20 agents to produce quality sounding, respectful sales calls that produced sales results.
  • Tracked agents’ sales per hour, dials per minute and composed spreadsheets to present to management.
  • Regularly meet and exceeded sales goals.
  • Created games and incentives to keep my agents focused, energetic and productive.

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