Insurance Verification Resume Samples
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Insurance Verification Resume Samples
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TW
T Ward
Trace
Ward
872 Hilpert Union
New York
NY
+1 (555) 154 0409
872 Hilpert Union
New York
NY
Phone
p
+1 (555) 154 0409
Experience
Experience
Los Angeles, CA
Insurance Verification Representative
Los Angeles, CA
Hodkiewicz-Kerluke
Los Angeles, CA
Insurance Verification Representative
- Ensures accurate and thorough documentation and completion of all necessary paperwork on time, according to established standards
- Ensures accurate, timely, and thorough documentation and completion of all necessary paperwork, according to established standards
- Completes all paperwork in a timely and accurate manner
- Perform other duties as assigned
- Meet and/or exceed departmental teammate performance standards
- Participate in quality improvement initiatives
- Works closely with referring physicians’ staff to obtain patient notes and begin process of authorizations
San Francisco, CA
Insurance Verification Coordinator
San Francisco, CA
Bernier-Osinski
San Francisco, CA
Insurance Verification Coordinator
- Make sure that work meets quality standards
- Assist in price negotiation with case managers
- Work effectively and maintain expected productivity
- Assist in researching reimbursement issues
- Coordinate completion of Financial Assistance forms, payment agreements and waivers
- Assist in training of new employees
- Takes initiative to present ideas/suggestions to management
present
Los Angeles, CA
Insurance Verification Team Lead
Los Angeles, CA
Baumbach-Zboncak
present
Los Angeles, CA
Insurance Verification Team Lead
present
- Proactively update management team status, operational concerns, or any other issues requiring management awareness
- Performance-based compensation and rewards for your hard work
- Develop and maintain current knowledge of Profiles workflow
- Provide ad hoc training and quality updates for continuous improvement
- Create job aids and facilitate practicum scenarios/sessions for training purposes
- Provide positive, constructive feedback, mentoring, and training to teammates
- Commitment to developing you and the chance to explore multiple career paths
Education
Education
Bachelor’s Degree in Creativity
Bachelor’s Degree in Creativity
Quinnipiac University
Bachelor’s Degree in Creativity
Skills
Skills
- Good attention to detail
- Communication – Communicates clearly, concisely, and professionally
- Ability to multi task and utilize multiple applications at once
- Decision Making – Identifies issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences
- Analytical Skills – Demonstrates ability to critically evaluate and appropriately act upon information
- Policies & Procedures – Articulates knowledge and understanding of organizational policies, procedures, and systems
- Ability to utilize Electronic Health Care Record system for documentation to patients account/record
- Good communication skills
- 13 Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps
- 10 Identifies opportunities to improve the quality of registration, billing or verification procedures
15 Insurance Verification resume templates
Read our complete resume writing guides
1
Finance Accounting Specialist Insurance Verification Resume Examples & Samples
- Excellent communication skills both written and verbal
- Proficiency in Microsoft Office Word and Excel
- Work ethic that is focused, accurate and highly productive
- Proactive, positive attitude, flexible and the ability to engage associates
- Mail Order Pharmacy experience
- Previous Medical Insurance experience
2
Insurance Verification Associate Resume Examples & Samples
- 2+ years of experience in Medical Office setting
- Working knowledge of HIPAA
- Solid time management and problem solving skills
- Experience working with a small group practice specializing in Brain and/or Spine Surgery
- Working knowledge of EMR software
3
Insurance Verification Resume Examples & Samples
- Collects demographic, insurance and financial data for the purpose of organizing, analysing and translating this information into useful data that meets our customers needs as well as supports organizational goals, and meets regulatory and compliance requirements
- Ensures complete and accurate demographic, third party payer collection as well as required billing information
- Works with patients and families to secure financial arrangements for patients as appropriate
- Provides excellent customer service in a professional manner
- Verifies eligibility and benefits
- Checks patient accounts in all assigned work queues
- Daily posting of payments in Excellian and Payment Navigator
- Gets receipts to patients as requested
- Develops and sends invoices to clinic for payment of plastic procedures
- Posts clinic payments to appropriate accounts
- Assists patients in making financial arrangements of making the appropriate referrals to MedEligible or MedCredit and/or other Allina financial resources
- Works with payers to assist in getting claims processed and paid
- Obtains prior authorizations/pre-certifications for patients
4
Insurance Verification & Pre Registration Representative Lead Resume Examples & Samples
- High School Diploma
- 2 years of experience in Pre-Certification, Pre-Registration, Registration or Scheduling preferred
- Must have a comprehensive understanding of insurance verification requirements, contract benefits and medical
5
Insurance Verification Scheduler Specialist Resume Examples & Samples
- Must have at least two years of prior experience in a medical practice in either a clinical or administrative
- Work requires knowledge of physician office policies, procedures and equipment
- Requires previous work experience in utilizing physician practice management software, or hospital
- Proficiency in Document Scanning
6
Senior Supervisor Integrated Collections & Insurance Verification Resume Examples & Samples
- High school graduate or equivalent GED certificate
- Minimum5 years supervisory experience in healthcare(i.e. insurance verification: benefits, eligibility, and authorization; collections, billing, A/P, A/R and claims processing: experience with government, commercial, and other third party payors in a medical group, healthcare company, or hospital setting)
- Analysis/analytical skills (i.e. experience in reviewing, trending and analyzing reports, to identify, track, trend and triage issues.)
7
Insurance Verification Rep Resume Examples & Samples
- Ability to handle high productivity standards, at exceptional quality requirements
- Proficient data entry and typing skills (40 WPM)
- Proficient in the use of general office equipment (computers, fax and copier)
- Exeptional problem solving and analytical abilities
- Effective communicator able to converse in a professional and intelligible manner regarding Patient Access business
- Ability to work within a team setting and be supportive of team members
- Ability to multi-task within multiple systems
- High school education or the equivalent
- 2 – 5 years administrative experience in medical facility, health insurance verification, or related area preferred
- 2 – 5 years experience in Customer Service or related call center environment preferred
- 1 – 2 years prior experience in a call center and hospital patient account billing with experience or knowledge of reimbursements from insurance companies and government payers preferred
8
Insurance Verification Representative Resume Examples & Samples
- Associates degree or other technical college education or the equivalent in work experience and continuing education
- Medical Terminology 1 course completion
- 5 years in a medical setting
- Experience with personal computers/customer service
- 1 - 2 years Registration and/or Patient Account Services
- Verbal and written aptitude for adequate communication with the general public, physicians, physician office staff, Registration staff, and other healthcare professionals. Must demonstrate the ability to work well with others
- Ability to work independently without direct supervision
- Must present in a professional manner
- Typing skills of 35 wpm
- Working knowledge of Windows and Microsoft Office
9
Medical Device Insurance Verification Resume Examples & Samples
- HS Diploma, GED or equivalent experience
- Refers to policies and past practices for guidance
- Consults with supervisor or senior peers on complex and unusual problems
10
Insurance Verification Supervisor Resume Examples & Samples
- Provide communication and follow up to ensure colleagues are fully informed of all new information related to products, processes, procedures, customer needs and company related issues, changes or actions
- Recommend process and procedure changes to improve efficiencies
- Assist with communication between internal departments, branches and billing centers
- Manage escalation calls
- Assist with hiring, coaching and performance appraisals
- Provide leadership and ongoing feedback for a team of call center representatives to ensure customer satisfaction
11
Insurance Verification Coordinator Resume Examples & Samples
- 2-5 years’ experience in a medical office
- Working knowledge of HIPAA, MS Office and Internet
- Experience with a small group practice
- Centricity Practice Management/EMR knowledge
- Experience scanning into practice management/EMR software
12
Medical Insurance Verification Coordinator Resume Examples & Samples
- Ability to communicate effectively both orally and in writing
- Adept at handling sensitive and confidential situations
- Strong organizational skills; attention to detail
- Ability to resolve associate issues quickly and efficiently
- Ability to represent a positive and professional image
- Strong knowledge of Microsoft Word Excel Power Point and Outlook
13
Insurance Verification Representative Resume Examples & Samples
- Ensures accurate and thorough documentation and completion of all necessary paperwork on time, according to established standards
- Ensures accurate data entry into the RIS system for each patient on time, according to established standards
- Utilizes telephone voice response systems and website solutions to obtain information on patient's eligibility status with insurance companies
- Works with patients to obtain complete and correct insurance information, discuss eligibility results, and discuss alternative payment methods
- Properly analyzes various payor eligibility responses to find the information needed to complete the verification
- Obtains and confirms insurance pre-authorizations when necessary
- Follows all HIPAA, compliance, privacy and confidentiality standards
- Maintains patient confidentiality at all times
- Demonstrates professionalism and courtesy to patients, families/guests and other team members
- Communicates clearly and effectively
- Communicates with vendors, patients, referring physicians, co-workers and all Radiologix team members in a courteous and professional manner
- Provides thorough and accurate information to all callers
- Maintains self-control when dealing with difficult patients and or situations. Involves Manager or Team Leader when necessary
- Maintains insurance verification log of accounts/procedures verified
- General computer and Internet knowledge
- Accurate data entry skills
- Provide clear verbal and written communication
- Ability to multi-task and be organized
- Must be able to work independently with limited supervision
- Ability to maintain confidentiality of patient information
14
Insurance Verification Representative Resume Examples & Samples
- Verify insurance prior to patient’s surgery or procedure
- Communicate with patients over the phone in a professional and customer service oriented manner
- Verify patient demographic information and update when necessary
- Identify the difference between precertification and referral
- High school diploma, GED, related certificate/diploma of related training or Associate’s Degree or Bachelor’s Degree
- Ability to embrace SCA core company values: clinical quality, integrity, service excellence, teamwork, accountability, and continuous improvement
- 2017-3142 IN EVR
15
Insurance Verification Representative EVR Resume Examples & Samples
- The work environment is mainly that of a traditional office that is fast paced and deadline oriented
- Contact insurance companies and verify coverage and eligibility
- Professionally communicate financial responsibility to patient and make arrangements for them to pay that amount
- Consistently achieve defined metrics
- Two more years of experience working with insurance verification, verifying insurance, or other related duties in a medical facility, clinic, hospital, outpatient surgery center, or health care industry
- Ability to type 40 wpm or more
- Mathematical ability to add and subtract two digit numbers and to multiply and divide with tens and hundreds
- Ability to work independently as well as with a team
- 2016-3135 TX EVR
16
Insurance Verification Representative Resume Examples & Samples
- Identify patient primary, secondary and sometimes tertiary insurance coverage
- Verify payer selected matches plan type based on information provided by the insurance company
- Identify the difference between precertification and referrals
- Obtain authorization with applicable implants
- Complete all department requests within a maximum of 72 hours
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- This positions requires a minimum of an Associate’s Degree in Healthcare Management, Business Management, a related field, or
- A minimum of one year of relative experience in a medical office or medical business office setting
- Direct experience working with verifying insurance coverage preferred
- Must have excellent phone and customer service skills
- Must be very organized, be detail oriented, solve problems and multitask
17
Spec Insurance Verification Resume Examples & Samples
- Verifies patient insurance coverage of medications, administration supplies and related pharmacy services through proper investigation into either major medical benefits (including Medicare) or pharmacy benefits
- Provides notification of urgent orders to the Senior level or Group Supervisor and communicates with other departments when an urgent need for filling a prescription or delivery is necessary. Places outbound calls to patients or physicians’ offices to obtain additional information needed to process the script or to notify of delay in processing script
- Manages inbound calls on the Insurance line from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage
- High School Diploma/GED
- At least 1 year of experience with the coordination of benefits, secondary insurance and/ or patient assistance programs
- At least 1 year of experience with concepts of plan design and comfortable with the processes of overrides and rejections
- At least 1 year of experience in providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
- Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
- Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets)
- At least 3 years of experience in obtaining prior authorizations, pharmacy benefit or medical billing experience
- At least 1 year of experience in a call center
- Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show)
18
Insurance Verification Lead Resume Examples & Samples
- Identifying insurance verification needs
- Collections of documents required for authorizations (ie: Clinical/Chart notes, Letter of medical necessity, Detailed Written Order, Advanced Beneficiary Notice, Certificate of Medical Necessity)
- Evaluate validity of orders processed to ensure all guidelines and qualifications are met prior to releasing of order into the workflow system
- Communication of any delays in service to patient and/or referral source
- Ensure proper channels of verification of payer contracts is being followed on orders
- Address daily questions/problems of team members and assist staff in bringing them to resolution
- Address customer complaints at the supervisory level when necessary
- Complete productivity metrics for the team and on individual basis
- Encourage input from all team members on ideas for growth and improvement of the team
- Facilitate monthly team meetings
- Execution and distribution of reporting/workload to team members when necessary, collaborating with team coordinators
- Strategize with team coordinators and manager on workloads, system processes and employee concerns
- Completion of Payroll Functions for the team
- Conduct performance reviews for all team members
- 2+ years of experience related to insurance process management in healthcare
- 1+ years experience working as a supervisor, trainer or leader of a department or group
- Intermediate MS Office proficiency (Word, Excel, PowerPoint, Outlook)
- Working knowledge of third party billing policies, practices and systems, and demonstrates leadership skills
- Ability to lead others in a productive environment
- Experience working with a billing system
- Knowledge of compliance regulations
- Ability to learn and retain product knowledge
- Independent decision maker
- Ability to work with multiple personalities
- Experience working in a fast-paced environment
- Excellent problem solving skills
19
Insurance Verification Representative Resume Examples & Samples
- Ensures accurate and timely data entry into the RIS system for each patient, according to established standards
- Utilizes telephone voice response systems and website solutions to obtain information on patients’ eligibility status with insurance companies
- Works with patients to obtain complete and correct insurance information, discusses eligibility results and alternative payment methods
- Properly analyzes various payer eligibility responses to find the information needed to complete verifications
- Follows all HIPAA, compliance, privacy and confidentiality standards. Maintains patient confidentiality at all times
- Communicates with vendors, patients, referring physicians, co-workers and all team members in a courteous and professional manner
- Contacts insurance providers via email or phone to review status of authorizations
- Works closely with referring physicians’ staff to obtain patient notes and begin process of authorizations
- Scans all completed paperwork into eRad RIS
- Cross-train and help in other departments if needed
- Participate in various projects and/or meetings, and complete other tasks as assigned by management
20
Insurance Verification Manager Resume Examples & Samples
- 5+ years of experience in Long-term Care Billing and Collections
- High School Diploma / GED
- Previous experience with Admissions and Claims
- Associate's and/or Bachelor's Degree
21
Patient Access Representative Insurance Verification Resume Examples & Samples
- Direct patient contact as needed to create pre-registration records
- Will assist in the flow of data between physicians, physician office staff, nursing floors, ancillary departments, emergency department, patient business services, insurance companies and patients while assuring patient confidentiality is not breached
- Resolves insurance approval requirements through collaboration of patient and physician Accesses, FISS or other online systems as appropriate, or phone contact to insurance companies
- Responsible for providing cost estimates for all inpatient, surgical and designated outpatient procedures to patients and point of service over the phone cash collections
- Prior experience in a hospital setting or healthcare setting preferred
- Computer knowledge and minimum typing requirements of 35 -40 wpm
- General knowledge of health insurance and business experience
- Knowledge of clinical terms required
- Must have excellent interpersonal skills, communication skills and ability to work with patients, their family and the public
- Knowledge of Meditech system preferred
22
Insurance Verification Rep Resume Examples & Samples
- Collects/receives patient demographic and financial information via phone, mail and/or Internet; verifies insurance information and records into electronic medical record
- Reviews eligibility discrepancies; gathers/resubmits follow up information as appropriate and alerts appropriate staff of any required appointment changes
- Responds to verbal and written requests for patient financial information in compliance with HIPAA regulations; investigates concerns/issues and provides quality assurance of data; may refer customers to appropriate resources
23
Insurance Verification Representative Resume Examples & Samples
- Certified Healthcare Access Associate (CHAA) or equivalent preferred
- High school graduate or GED equivalent
- Ability to communicate clearly and effectively in both verbal and written form. Fluency in both English and Spanish preferred. Spanish may be required for this position in specific settings
- Two years experience in a hospital and/or other health care setting, preferably in registration, billing, cash collections or insurance requirements. Familiarity with third party/insurance payers and medical terminology preferred. Related college level courses may be considered in lieu of work experience
- Proficiency in the use of computers. Specifically, Microsoft products and email
- Basic knowledge of formulas, charts and tables and their applications
- Ability to prepare and analyze reports and registration data
- Typing skills of 45 wpm or higher required
- Excellent public relations and customer service skills. Excellent telephone customer service skills. Strong interpersonal communication, problem solving and organizational skills
- Ability to work in a fast paced environment with frequent interruptions
- Self-directed and ability to prioritize work in a stressful environment
- Ability and willingness to transport patients by wheelchair
- Ability to meet patient age-specific needs
24
Insurance Verification Coordinator Resume Examples & Samples
- Verifies patients' insurance benefits for specialty pharmacy therapies prior to start of service
- Enters and updates patient insurance into the computer system and completes order for RX setup
- Obtains prior authorizations as required
- Reviews financial responsibility with patient or family member and obtains payment mechanism (as needed)
- Coordinates incoming referrals and determines service site
- Processes and reviews test claims for new referrals
- Re-verification of patient's insurance benefits and resolves insurance issues
- Creates new physician codes as needed
- Answers and resolves incoming calls from patients, referral sources and insurance companies
- Demonstrates ability to communicate effectively and express ideas clearly
- Takes initiative to present ideas/suggestions to management
- Utilizes appropriate communication lines in relaying problems, concerns, questions and ideas
- Demonstrates the ability to work effectively and maintain expected productivity
- Cooperates with other staff members when planing and organizing daily activities
- Maintains courteous demeanor at all times
- Prioritizes and completes work on schedule
- Carries out all responsibilities in accordance with Chartwell's Core Values
- CUSTOMER SERVICE ORIENTATION- Gives high priority to client satisfaction and customer needs
- Set high goals or standards of performance for self
- Make sure that work meets quality standards
- Demonstrates reliability and follow-through on all assigned tasks
- 1-2 years of experience in Specialty Pharmacy, Home Infusion or Hospital/Physician, insurance verification and/or billing/collections preferred
- Pharmacy (NCPDP) billing and knowledge of insurance payers highly desired
- Knowledge of medical terminology desired
- Excellent organizational communication and customer service skills
- Capable of managing multiple priorities
- Excellent organizational, communication and customer service skills
- Specialty Pharmacy experience a plus
25
Insurance Verification Coordinator Resume Examples & Samples
- Assist in generating price quotes
- Assist in price negotiation with case managers
- Assist in researching reimbursement issues
- Assist in training of new employees
- Cooperate with other staff members when planning and organizing reimbursement activities
- Coordinate completion of Financial Assistance forms, payment agreements and waivers
- Create new hospital and physician codes as needed
- Enter and update patient demographics into the computer system
- Generate financial responsibility letter
- Give high priority to client satisfaction and customer needs
- Obtain prior authorizations as required
- Prioritize activities needed to be done
- Review benefits and financial responsibility with patient or family member
- Track, monitor, and secure clinical documentation, AOB's etc. based upon insurance carrier requirements
- Verify patients' insurance benefits for therapies prior to discharge from the hospital
- Work effectively and maintain expected productivity
- Associates degree OR equivalent combination of education and experience
- 2-3 years of experience in home IV therapy and/or insurance verifications
- Knowledge of medical terminology preferred
26
Hcmd Senior Insurance Verification Rep S Resume Examples & Samples
- Five (5) years' experience within a healthcare provider and/or payer environment performing patient access, patient accounting and/or customer service activities is highly preferred. Familiarity with third party/insurance payers and medical terminology, ICD10 and CPT coding preferred
- Proficiency computer and data entry skills. Proficiency in Microsoft Office products such as Excel, Word, PowerPoint, and Visio. Must be able to navigate between multiple information systems as quickly and efficiently as possible
- Exceptional communication (written and oral) with the ability to convey complicated information to customers. Fluency in both English and Spanish preferred. Interpersonal skills are necessary in dealing with internal and external customers, including the ability to interpret customer requirements, recommend and take action to satisfy the customer’s needs
- Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must be able to manage multiple workplace demands and set realistic and obtainable priorities related to such
- Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Holy Cross Hospital
27
Insurance Verification Resume Examples & Samples
- 1 Verifies insurance coverage for selected services to facilitate cash collection
- 2 Utilizes automated systems to obtain and process information (Registration, Medipac, Blue Cross/HART,
- 6 Reviews information cards and related system reports for accuracy; effect error corrections as appropriate
- 7 Responds to problems and questions from Registration staff, Utilization Review, Clinical departments,
- 9 Reviews and monitors Daily Balance Forward report to ensure verifications are done timely and follow up is
- 10 Identifies opportunities to improve the quality of registration, billing or verification procedures
- 11 Explains accounts to patients; translates billing to patient understanding
- 12 Responds to patient questions concerning insurance coverage, benefit coverages for their insurance plans
- 13 Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps
28
Insurance Verification Representative Resume Examples & Samples
- Consistently supports and communicates the Mission, Vision and Values of St. Joseph Medical Center
- Follows the St. Joseph Medical Center Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
- Promotes a culture of safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment
- Retrieve reservation/notification of scheduled service or walk in patient roster from scheduling and/or registration system/reports
- Research patient visit history to avoid account and/or medical record duplication and ensure compliance with Medicare Payment Window Rules
- Perform pre-registration, insurance verification, pre-cert/auth, deposit calculation, and telephone collection within 24 hours of receipt of reservation/notification for scheduled services and 48 hours prior to the date/time of the patient’s appointment (when scheduled within 72 hours of appointment)
- Perform pre-registration, insurance verification, and pre-cert/auth same day for unscheduled/walk in registration
- Perform pre-cert/auth same day for account status changes (unit to unit and/or level of care)
- Follows insurance verification scripting to ensure the appropriate level of benefit and pre-cert/auth detail is obtained
- Records detailed benefit and pre-cert/auth information in the appropriate electronic form at (registration system) to ensure availability for revenue cycle reference
- Coordinates activities with physician offices to ensure compliance with pre-cert/auth and/or referral form requirements so that facility authorization can be obtained without delay; obtains fully compliant and authenticated order for services
- Assigns accurate and appropriately sequenced payer code/Insurance plans
- Utilizes payer websites and/or eligibility vendor to obtain real time eligibility and benefit detail; printing and/or cut-n-pasting detail to ensure availability for revenue cycle reference
- Complete Medicare Secondary Payer Questionnaire to determine primary payer
- Calculate patient cost share and perform telephone collection prior to service in accordance with upfront collection policy and procedure
- Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to obtain missing demographic information, quote/collect patient cost share, and instruct patient when and where to present at time of appointment
- Communicates with hospital case management as needed to ensure clinical detail is provided to the payer in a timely manner
- Utilize registration system notes to document important information related to verification, pre-cert, and upfront collection
- Meet/exceed performance standards/productivity and upfront collection goals
- Implements and follows system downtime procedures when necessary
- Supportive of the compliance program set forth by SJMC and demonstrated by
- Upholds the Code of Ethics and Corporate Compliance
- Adheres to and helps to enforce all compliance policies relevant to his/her area
- Assures timely compliance education as requested by the Compliance Officer and/or through corporate initiatives
- Sets an example to all staff in their daily activities
- At least 3 years of Insurance Verification experience required
- LICENSE/REGISTRATION/CERTIFICATION
- Technical, critical thinking, and interpersonal skills relevant to area in order to effectively communicate with physicians, health team members, patients and families
- Ability to prioritize work with minimal supervision, in order to independently carry out the duties of the position
- Able to communicate effectively, both verbally and in writing
- Additional languages preferred
29
Insurance Verification Rep Resume Examples & Samples
- Performs insurance verification, pre-certification, payer authorization, calculation of patient estimated liability and assists with the financial clearance process to ensure that patient financial obligations are met prior to patient encounters for pre-scheduled patients; and during or post encounter for non-scheduled patients
- Facilitates communication between Patient Access Services, physicians, external entities and other departments regarding insurance and payment issues
- Reviews all managed care admissions to ensure that appropriate payment arrangements and authorizations are made. Refers high risk accounts due to limited coverage or ineligibility to the appropriate individuals for review, according to departmental procedures
30
Insurance Verification Team Lead Resume Examples & Samples
- Actively seek and maintain subject matter expertise of contact center program (content, policies and procedures)
- Daily monitoring of calls for quality and content accuracy
- Document contact quality results in standard scoring forms and provide feedback to agents, supervisors, and call center manager as required
- Assist contact center staff, including agents, supervisors, and trainers, to understand program content
- Compile and track performance at team and individual levels
- Communicate program changes, issues and trends
- Prepare and analyze quality assurance reports and trending information for QA and Business management
- Provide actionable data to various internal support groups as and when needed
- Create job aids and facilitate practicum scenarios/sessions for training purposes
- Coordinate and facilitate call calibration sessions
- Provide ad hoc training and quality updates for continuous improvement
- Participate in and facilitate customer and client listening programs (Call Quality Assessment [CQA] sessions)
- Commitment to DaVita's core values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, teammates, management, physicians, and/or vendors (Village Service Providers) in everyday performance and interactions
- Strong written, verbal, and interpersonal communication skills, with ability to listen attentively and communicate information clearly and effectively
- Exceptional organization and analytical skills
- Ability to build relationships and work collaboratively in a fast-paced environment
- Demonstrated skill in understanding business objectives and client expectations
- Ability to prioritize and manage multiple projects at the same time
- Demonstrated ability to manage time and work both independently and as part of a team
- Certified Pharmacy Technician preferred
- High school diploma or equivalent required; Bachelor's degree or equivalent combination of education and experience preferred
- Intermediate to Advanced-level proficiency with MS Office software (Word, Excel, Access)
- In-depth knowledge of common contact center procedures and support workflow
- Minimum of two years telephone customer service experience
- Minimum of two years quality assurance or call auditing experience preferred
- Experience in healthcare or pharmacy industry preferred
31
Insurance Verification Rep Resume Examples & Samples
- Must exhibit a caring attitude toward patients, co-workers, and other customers
- Ability to handle multiple priorities successfully
- Position requires close attention to detail
32
Insurance Verification Authorization Specialist Resume Examples & Samples
- Previous healthcare experience, in either a provider or payor site
- 2 years of college education
- Satisfactory completion of college level medical terminology or medical assistant course
- National Certification of Certified Healthcare Access Associate (CHAA)
- Previous registrar and third party payor experience
33
Insurance Verification Rep Resume Examples & Samples
- High School Diploma with at least 2 years of Patient Access (or related healthcare) experience
- Proficient in 10-key calculator by touch
- Proficient in the use of general office equipment (fax, copier and computers)
- Proficient data entry and typing skills (30 WPM minimum)
- Ability to interpret third party payor principals and terms
- Effective communicator - able to converse in a professional and intelligible manner regarding Patient Access business
- Ability to work successfully in a fast paced environment with frequent interruptions
- Multilingual a plus
34
Fvc-insurance Verification Representative Resume Examples & Samples
- Provide general support in the collection and verification of data and information; ensuring data accuracy and integrity
- Support the maintenance of appropriate billing systems within the assigned function(s)
- Review, investigate and resolve outstanding claims in coordination with cross-divisional teams and/or vendors to obtain the best financial results on behalf of the company
- Assist with various projects as assigned by direct supervisor
- 1 – 2 years’ related experience
- Good computer skills with demonstrated proficiency in word processing, spreadsheet and email applications
- Detail oriented with good analytical and organizational skills
- Good time management skills with the ability to multitask concurrent priorities in an organized manner
- Great interpersonal skills with the ability to work cohesively within a team environment
- Great customer service skills with the ability to interact with diverse audiences through diplomacy and tact
- Great oral and written communication skills to effectively communicate with all levels of management
35
Insurance Verification Representative Resume Examples & Samples
- Greets patients and families in person or by phone using AIDET. Maintains a friendly and welcoming atmosphere in a busy and public work environment. Maintains patient confidentiality
- Pre-registration functions
- Regular attendance required
- Good communication skills are required both written and verbal
- Works independently / thinks proactively
- Builds and fosters professional relationships
36
Scheduler / Insurance Verification Resume Examples & Samples
- Confers with clinical staff to determine status of scheduled surgeries. In some instances, the Administrator may need to be consulted
- Obtains all required patient information from physicians’ offices in a timely manner
- Notifies clinical staff and/or Materials Manager of the need for special equipment or supply requirements. Makes note of the needs in the “comment” section of the schedule
- Alters schedules to meet unforeseen conditions. Communicates all schedule changes to business office, clinical and anesthesia staff in a timely and appropriate manner
- Enters all appropriate scheduling, demographic and insurance information into the computer system accurately
- Prints and distributes daily/weekly schedules
- Performs all other duties assigned
- Reports for work in a timely manner and maintain good attendance record
- Shows flexibility in accommodating schedule changes, i.e. working late or early, changing work days, etc
- Utilizes time effectively
- Organizes work effectively and appropriately to finish in a timely manner, and demonstrate the ability to deal with other staff members
- Demonstrates interest and enthusiasm towards work
- Contributes to increased morale and demonstrate positive attitude in the department and facility
- Demonstrates the ability to accept change
- Requires minimal supervision in daily tasks
37
Patient Account Rep Insurance Verification & Front End Collections Resume Examples & Samples
- Demonstrates logical judgment and course of action
- Demonstrates ability to adjust to change
- Enjoys working with detailed information and problem solving
- Ability to handle multiple projects and prioritize workflow
38
Insurance Verification Representative Stonebridge Surgery Center Resume Examples & Samples
- Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient
- Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information
- When the patient’s insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting Out of Network payers
- SCA’s goal for each patient’s insurance verification is complete and accurate. The insurance verifier will document the findings in the patient account and will contact the patient with either estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable
- The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage guidelines in contacting patient’s prior to the date of service to review, Physician Ownership, Advance Directives and Patient Rights
- Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service and facility name are on the authorization. Ensure the authorization has not expired
- Enter authorization into patient accounting system. Include the name/CPT codes effective date of the authorized procedures
- Ensure high cost implant/supply or equipment rental is included on authorization
- Check insurance company approved procedure lists/medical policies. If procedure is not payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form
- Minimal and according to management guidance, must be self-directed and able to work independently
39
Pre-service Rep-insurance Verification & Authorization Rep-benson Tower Resume Examples & Samples
- Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process
- Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations
- Reliable transportation to travel to other facilities to fill in as needed
40
Manager Prereg / Insurance Verification Resume Examples & Samples
- Communication - communicates clearly and concisely
- Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
- Financial management - applies tools and processes to successfully manage to budget
41
Insurance Verification / Collections Resume Examples & Samples
- Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance
- Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class
- Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable
- Acceptance of in-network benefits for out-of-network payers must be pre-approved by SCA Compliance Dept
- Be familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/co-pay/co-insurance. Knowledge of payer contracts including Medicare,
- Medicaid and other government contracts and guidelines and workmen’s compensation fee schedule
- Contact the patient and communicate the center financial policy
- Two years insurance and collections experience in the Medical Field
- Computer Skills
- Excellent communication skills both verbally and written
- Customer Service Experience
42
Patient Insurance Verification Coordinator Resume Examples & Samples
- Greets patients and / or visitors to the department
- Interviews patients and / or significant others and obtains relevant demographic and insurance data; obtains necessary signatures
- Enters patient pre-registration, registration or admission information into computer; verifies accuracy
- Provides interpretation of Hospital regulations to patient (patient services, visiting hours, etc.)
- Accepts payment from patient as appropriate
- Provides assistance to patients regarding billing and insurance issues
- Ensures patient charts are distributed to Medical Records accordingly
- Answers phones, provides necessary information and takes appropriate messages
- Contacts various departments and clinical services, as needed
- Deals with physicians and other customers
- Performs related duties, as required
- Must be able to work 37.5 hours per week, from 9 AM to 5 PM, Monday through Friday. Must also have the flexibility to adjust daily schedule and work over-time, weekends and holidays as needed
- Experience with Windows PC applications, which includes the ability to learn new and complex computer system applications
- Patient registration experience
- Knowledge of health insurance
- Bilingual fluency with English and Spanish
- Customer service experience in a medical setting
- Must be comfortable in high-stress, fast-paced environments
43
Insurance Verification Spec Resume Examples & Samples
- High school diploma or equivalent
- Minimum of three (3) years Healthcare industry experience
- Proficient with MS Office computer based software
- Must be capable of maintaining regular attendance
- Working knowledge of medical terminology
- Ability to manage conflicting priorities
- Must be able to maintain security and confidentiality regarding patient, employee and company proprietary information
- Must have the ability to relate professionally and positively and work cooperatively with patients, families, and other employees at all levels
44
Insurance Verification Representative Resume Examples & Samples
- Ensures accurate, timely, and thorough documentation and completion of all necessary paperwork, according to established standards
- Properly analyzes various payor eligibility responses to find the information needed to complete verifications
- Maintains self-control when dealing with difficult patients and/or situations. Involves manager or team leader when necessary
- Completes all paperwork in a timely and accurate manner
- Promotes a positive and supportive relationship with referring community and fellow employees
- Must have one of the following: a high school diploma or general education degree (GED), one to three months of related experience and/or training, or an equivalent combination of education and experience
- Possesses and utilizes excellent customer service skills, strong public relations skills, and exceptional written and verbal communications skills
- Must be detail-oriented and organized, possess clerical skills, and have the ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management
45
Prereg Insurance Verification Representative Redmond Resume Examples & Samples
- Insurance Verification knowledge
- Precertification/authorization knowledge with surgery/radiology/inpatient/outpatient/hospital/physician’s office
- Registration/patient access knowledge in Emergency room/outpatient areas
- Computer Literacy
- Some medical terminology
- Telephone usage
- Contacted insurance companies for verification or precert
- *ONLY CANDIDATES WITH SALARY REQUIREMENTS LISTED WILL BE CONSIDERED***
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Manager Pre Registration Insurance Verification Resume Examples & Samples
- Organization - proactively prioritizes needs and effectively manages resources
- Tactical execution - oversees the development, deployment and direction of complex programs and processes Shared Services
- Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
47
Insurance Verification Resume Examples & Samples
- Forty-five (45) wpm typing skills, required
- Self-starter and works independently
- Ability to multi task and utilize multiple applications at once
- One year insurance verification experience or some hospital clerical experience preferred
- Previous use of medical terminology is beneficial
48
Insurance Verification Rep Resume Examples & Samples
- Two-year college degree or equivalent experience preferred
- Professional Certification through AAHAM, NAHAM or HFMA preferred
- Minimum of two years' experience performing registrations, insurance verifications, billing and the collection of POS collections in a hospital and/or other health care settings. Insurance verification experience preferred. Working knowledge of applicable federal, state and local laws and regulation/third party insurance practices, eligibility systems, etc. Firm understanding of medical terminology, ICD10 and CPT coding
- Proficiency computer and data entry skills. Proficiency in Microsoft Office products such as Excel, Word, PowerPoint, and Visio
- Exceptional communication (written and oral) with the ability to convey complicated information to customers. Fluency in both English and Spanish preferred
- Must be able to perform audit functions in a concise, timely and professional manner to include: data retrieval and review; error identification and correction; documentation and display of data in a concise, understandable format; identification of trends; and recommendation of process/system improvements
- Excellent problem solving and conflict management skills are essential, as decisions and judgment utilized by the incumbent impact the overall operations and workflow of the hospital and Medical Staff
49
Insurance Verification Rep Resume Examples & Samples
- Ensure insurance coverage by telephone
- Resolve any issues with coverage and escalates complicated issues to manager
- Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service
- Coordinate copies of medical documentation with physician charges to support billing to third-party payers
- Identify physician services provided, but not accurately documented in the medical record
- Resolve routine patient billing inquiries and problems
- Bachelor degree in related field preferred
50
Escalated Insurance Verification Resume Examples & Samples
- Outline and explain information and assessment of issues in clear and concise terms and escalate to management when appropriate
- Assist Lead with implementation of training workshops and training for new verifiers as assigned
- Notify management of improper payer behavior trends found on accounts worked or being worked by others on the Clinical Authorization team
- Interface with employees from all FSS departments and clinical sites to facilitate resolutions to outstanding issues as identified and assigned
- Assist in reduction of AR due to No authorization
- Informing the Clinical Appeals unit, FD, FC & your manager when a treatment or service is denied
- Coordinating with the FD staff on the proper insurance plan to be entered on the account as needed
- Communicating with Office Staff when there is a pre-existing condition affecting coverage
- Follow up daily with the insurance until you receive a valid authorization
- Attending insurance meetings/online website trainings for payer specific updates and information as required
- Assisting with department process manual updates as payer requirement changes are noted
- Re-verify All active patients in treatments for required authorization or referral
- Participating with process improvement as needed. (Change)
- Maintaining productivity of 40 patient accounts daily by the assigned insurance
- Experience with insurance verification preferred
- Experience with Medical Manager or other practice management system preferred
- Knowledge of medical terminology as well as ICD- 10 and CPT codes
- Detail oriented with good organizational skills
- A team player is required
- Multi-tasking in a fast paced environment
- Work under limited supervision with ability to understand and meet department productivity standards
- Strong understanding of healthcare plan terminology and benefits
- Healthcare experience preferred
- High school graduate or equivalent
- Eligibility determination and benefits experience
51
Patient Benefits Rep-insurance Verification Resume Examples & Samples
- Prior to a patient receiving treatment; obtains insurance coverage information and demographics from the site
- Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment
- Obtain chemotherapy order Authorizations for assigned sites
- Review Benefits for coverage and if pre-certification/authorization pre-determinations are required, will submit to the respective Payer
- Chart message the site to notify of Authorization Approvals
- Ensure Chemotherapy investigation notes are placed in the EMR system under Insurance alerts
- Communicate Insurance denials/peer to peer reviews requested by insurance to site via chart message to Dr./Nurse for assistance in completing
- Demonstrate knowledge of CPT coding and HCPS coding application
- Must be able to verbally communicate clearly and utilize the appropriate and correct terminology
- Must successfully complete required e-learning courses within 90 days of occupying position
52
Fvc-team Lead, Insurance Verification Resume Examples & Samples
- Under general supervision and utilizing functional knowledge and expertise, verifies and documents patients’ insurance information and eligibility per company requirements and department standard operating procedures ensuring completeness and accuracy to facilitate timely and accurate billing and collections activities
- Provides support, guidance, and subject matter expertise to junior staff, intervening as needed to address challenging and complex situations. Assists with coordinating and assigning daily tasks and workload to team prioritizing as needed to ensure established timelines are met
- Verifies patient insurance information the day prior to the scheduled date of service
- 4 or more years’ experience in medical billing, with an emphasis on payment posting/reconciliation with a HS Diploma, 2 or more years’ experience with a bachelor’s degree
- Basic understanding medical terminology,
- Proficient with PCs, Microsoft Office applications and able to navigate and understand computerized patient accounting applications
- Strong organizational and time-management skills with attention to detail
- Positive attitude and team-oriented approach
- Excellent knowledge of commonly used concepts, practices and procedures related to medical billing and follow-up
- Good understanding of payer contracts and reimbursement
53
Insurance Verification Rep Resume Examples & Samples
- Knowledge of medical insurance claims procedures and documentation
- Ability to use a personal computer and related software
- Performs insurance notification, verification and authorization for admissions
- Obtains and maintains accurate patient demographics and enters information into billing system
54
Collections & Insurance Verification Supervisor Resume Examples & Samples
- Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements
- Supports and adheres to personnel policies and programs which specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program
- Organization– Proactively prioritizes needs and effectively manages resources and time
- Customer Orientation – Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
- Decision Making– Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences
- Contributing to Team Success–Actively participates as a member of the CBO’s team to move the team toward the completion of goals
- Policies & Procedures – Articulates knowledge and understanding of organizational policies, procedures, and systems
- Technical Skills –
- Minimum three (3) years of collection and insurance verification experience or supervision of collections in a high volume collection arena highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred
- Working knowledge of Managed Care payers/contracts, Medicare and Medicaid payers/contracts, Medicare/Medicaid Managed Care payers/contracts and medical terminology are preferred
55
Insurance Verification Representative Resume Examples & Samples
- Prefer 1+ years’ of experience working with insurance verification, verifying insurance, or other related duties in a medical facility, clinic, hospital, outpatient surgery center, or health-care industry; or have related training/education/diplomas/certifications
- Knowledge of MS Office including Word and Excel
- Excellent phone and customer service skills
56
Insurance Verification Resume Examples & Samples
- Verify insurance benefits promptly and accurately by telephone and online programs
- Ensure implants and/or supplies are covered under the plan
- Calculate co-payment, co-insurance, and/or deductible amounts per the payer contract
- Communicate financial responsibility to patients, surgeon’s office and team members
- Obtain authorizations from insurance companies or physician offices
- Enter complete and accurate insurance information into patient accounting system
- Demonstrate good judgment in handling patient encounters and safeguarding confidentiality
- Maintain a cooperative working relationship with all and handle difficult situations tactfully
- Answer incoming phone calls and monitor incoming faxes
- Willingness to cross-train in all administrative areas for coverage
- Demonstrate flexibility, accept change, and perform other duties as necessary
- Personable team player, able to prioritize duties, pay attention to detail, and multitask
- Computer/keyboarding skills required, including proficiency in Excel and Word
- Excellent written and verbal skills, professional telephone manner (bilingual a plus)
- Medical surgical insurance verification experience preferred, (surgery center a plus)
57
Insurance Verification Representative Resume Examples & Samples
- Ensure accurate, timely, and thorough documentation and completion of all necessary paperwork, according to established standards
- Ensure accurate and timely data entry into the RIS system for each patient, according to established standards
- Utilize telephone voice response systems and website solutions to obtain information on patients’ eligibility status with insurance companies
- Work with patients to obtain complete and correct insurance information, discusses eligibility results and alternative payment methods
- Obtain and confirm insurance pre-authorizations when necessary
- Follow all HIPAA, compliance, privacy and confidentiality standards
- Maintain patient confidentiality at all times
- Demonstrate professionalism and courtesy to patients, families/guests and other team members
- Communicate with vendors, patients, referring physicians, co-workers and all team members in a courteous and professional manner
- Maintain insurance verification log of accounts/procedures verified
- Scan all completed paperwork into eRad RIS
- Promote a positive and supportive relationship with referring community and fellow employees
- Perform other tasks/projects as assigned by management
58
Insurance Verification Team Lead Resume Examples & Samples
- Develop and maintain current knowledge of Profiles workflow
- Orient, mentor, and train new teammates as requested by DaVita Rx management
- Provide positive, constructive feedback, mentoring, and training to teammates
- Perform audits as needed to ensure orders are handled in compliance with the team policies and procedures
- Actively assist and participate with workflow when required
- Track overtime and attendance
- Proactively update management team status, operational concerns, or any other issues requiring management awareness
- Attend or lead team meetings, phone conferences, and training as needed
- Work overtime with little or no notice as needed
- Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
- 2+ years of call center experience
- Demonstrated ability to work with high volume production teams with an emphasis on quality
- Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Excel, Outlook
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Insurance Verification Supervisor Resume Examples & Samples
- Ability to communicate in English, both verbally and in writing
- Other languages preferred
- Basic computer knowledge
- Correct and safe operation of office equipment, i.e., copy machine, adding machine, fax
60
Insurance Verification Rep Resume Examples & Samples
- Graduate/equivalent of a 2-year medical/business program
- Basic knowledge of ICD-9 and CPT coding
- Medical terminology
- 2 to 3 years medical office experience
- 1-2 years experience with personal computers and frontline customer service
- Knowledge of insurance referrals and obtaining authorizations
- Keyboarding 35 wpm
- Knowledge of computers
- Knowledge of Microsoft Office software preferred
- Self-directed
- Pleasant and friendly manner
- Neat appearance
- Ability to work well in a fast-paced environment
- Excellent problem solving/critical thinking skills
- Ability to interpret and deal with several abstract and concrete variables
61
Insurance Verification & Authorization Coordinator Resume Examples & Samples
- Provide accurate and complete data input for pre-certification request and for providing excellent customer service
- Handle all functions of the authorization process including intake, initiation, tracking and status follow-up for patients to ensure authorization and re-authorization for coverage of services
- Verify Medicare, commercial insurance and Medicaid coverages and request initial authorization and re-authorization of home health visits
- Collect information required by the insurance company to render authorization decisions
- Contact patients for updated insurance information
- Assist with month end reporting and logistical and/or problem resolution related to patient’s medical record, authorization and billing issues
- Must have at least 2 years of experience in insurance authorization and verification process
- Must possess a minimum of 1 year of experience in home health or medical field
- Must understand the issues related to the delivery of home health services and be able to problem solve effectively
- Must possess knowledge of the Medicare guidelines governing home health agencies
- Must have a high school diploma or equivalent
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Insurance Verification Resume Examples & Samples
- Ascertain insurance information from patient’s prior to service
- Contact insurance company, as needed, to verify patient coverage
- Reviews insurance registration documentation and/or existing plan referral/authorization against data entered into data system
- Receives and process requests for treatment authorizations. Completes on-line forms to request authorizations, scans required documentation into Intergy, and updates patient accounts
- Gathers information for submission of Medicare SNF LOAs
- Reviews daily emailed requests for treatment authorization updates and extensions
- Communicates with RA, Doctors, and medical assistants when additional patient information is needed
- Reviews Intergy system to follow up on daily “TASK” notices regarding pending authorizations
- Schedules all incoming new patients within 72 hours of receipt of referral
- Obtains all new patient demographic information and insurance data, verifies coverage and eligibility prior to first appointment
- Covers for front desk staff breaks, vacations, absences
- Performs other duties as needed
63
Insurance Verification Representative Resume Examples & Samples
- 1+ years experience in related field
- Applies acquired job skills and company policies and procedures to complete standard tasks
- Works on routine assignments that require basic problem resolution
- Receives general direction on standard work; receives detailed instruction on new assignments
64
Insurance Verification Coordinator Resume Examples & Samples
- Process all preregistration insurance requests at the Insurance Department Registration Station
- Maintain patient accounts by obtaining, recording, and updating person, financial and insurance information
- Educate patients on their insurance coverage
- Confirm insurance coverage with insurance companies online or by phone
- Respond to patient insurance inquiries in-person or by phone
- Investigate account questions from Patient Care Coordinators, students, or other clinic staff
- Escalate complex payment claim questions/non-payment issues to Insurance Coordinators
- Perform all other duties as assigned by the Insurance Manager
- Private and public dental and medical insurance plan policies
- Intermediate level dental and medical terminology and treatment plans
- Insurance billing principles
- Communicate professionally and courteously with faculty, residents, students, patients and staff
- Research and/or resolve financial conflicts with insurance companies and patient accounts
- Support and contribute to a positive and productive team environment
- Work within an electronic health record system
- Minimum of two years insurance billing or front office records experience in a high volume dental setting
- Minimum of six months experience processing public dental insurance claims
