Verification Specialist Resume Samples

Description :

1. Verify benefits for patients that are seeking admission.
2. Verify commercial insurance, Medicare, Medicaid, HMO, PPO Liaison between insurance companies, UR nurses, and Social workers Responsible for collecting copayments, deductibles, and made payment arrangements as needed.
3. Responsible for making sure that all the patients' stays are fully authorized.
4. Report any denials or exhaustion of benefits to the Director of finance.
5. Compliant with HIPPA guidelines and privacy practices.
6. Patient confidentiality and patient's rights Train new employees Negotiate rates with insurance companies.
7. Work closely with the Director of Finance and Director of Admissions.

Experience

2-5 Years

Level

Junior

Education

Business Administration

Description :

1. One of the largest background screening companies in the world.
2. Servicing thousands of businesses worldwide.
3. Served on the adjudication team where the background checks were proofed and formatted to proper standards for each client.
4. Served on the specialist team that checked over client specific instructions made for our company standards.
5. Made outbound calls to collect information and verify applicant employment and academic enrollment.
6. Transferred verified information from faxes and emails to verification page for it to be proofed and formatted.
7. Helped with training of other proofers and verifiers in the company.

Experience

2-5 Years

Level

Junior

Education

Marketing

Description :

1. Contact educational institutions to verify educational information (diploma, degrees, certifications, etc.) as provided by the candidate.
2. Contact employers to verify employment information (salary history, dates of employment, job titles, responsibilities, etc.) provided by the candidate.
3. Search websites to verify specific Licenses or Credentials provided by the candidate.
4. Contact professional references to support / verify information provided by the candidate.
5. Contact personal references to support / verify information provided by the candidate.
6. Receive incoming calls from educational institutions, employers, references that provide verification information.
7. Properly document results of each verification attempt.
8. Properly route work through the verification process.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Defused volatile customer situations calmly and courteously.
2. Accurately documented, researched and resolved customer service issues.
3. Mastery of customer service management systems and databases.
4. Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
5. Identified chronic customer issues by creating and maintaining customer complaint log.
6. Resolved service, pricing and technical problems for customers by asking clear and specific questions.
7. Oversaw call center employees to ensure customer satisfaction goals were consistently met.

Experience

2-5 Years

Level

Executive

Education

High School Diploma

Description :

1. Demonstrated ability to multi-task; simultaneously navigate several websites.
2. Search and obtain pertinent data with regard to diverse testing results.
3. Verify valid driver's license and traffic history.
4. Maintain timely informative communication with clients pertaining to file status.
5. Provide outstanding customer service in response to up to 50 incoming calls.
6. Review applicants address history; determine missing states and search criminal records.
7. Verify professional licenses, earned degrees, and previous employment history.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Analyze confidential data annotated on the Federal Application for Federal Student Aid (FAFSA) using documents submitted by students and parents alike, in order to reconcile the material and confirm accuracy and completeness.
2. Provide direction and guidance to colleagues regarding federal updates and modifications concerning the verification processes.
3. Maintain communications with students and parents regarding missing or incomplete documentation required to resolve any issues impeding the verification process.
4. Operate several federal and private software programs, such as Banner and FAA Access, simultaneously to confirm that every student receives maximum benefits with respect to federal regulations.
5. Collect required verification documents and also monitor the verification documentation database by reviewing documents that are submitted and/or uploaded.
6. Audit reports generated by interpreting and analyzing the data of over 5,000 students to ensure that the correct amount of federal financial aid funds is posted to the students' accounts.
7. Resolve any discrepancies presented after students have completed the FAFSA packages.

Experience

2-5 Years

Level

Junior

Education

Master's In Accounting

Description :

1. Checking the accuracy and completeness of documents and transactions, generated by stores when an agent sells third party products.
2. Assigned on a daily basis, a list of policies that have to be verified through various carrier website, Finance Pro and AMS 360.
3. Responsible for score carding and agents who: Fails to attach required documents.
4. Attaches incomplete documents or incorrect documents.
5. Responsible for correcting, in AMS 360: Policy terms date, Invoices posted for incorrect amounts and Policy numbers entered incorrectly.
6. Checking the accuracy and completeness of documents and transactions, generated by stores when an agent sells third party products.
7. Assigned on a daily basis, a list of policies that have to be verified through various carrier website, Finance Pro and AMS 360.
8. Responsible for score carding and agents who: Fails to attach required documents.

Experience

5-7 Years

Level

Executive

Education

Marketing

Description :

1. Quality audit incoming official academic documents and medical school applications for completeness, authenticity, and accuracy.
2. Research, analyze, and evaluate applicant and institution data.
3. Ensure applicants meet AMCAS and FAP program requirements.
4. Acquire and retain thorough current knowledge of AMCAS and FAP policies and procedures.
5. Perform in-depth evaluation of applicant information using testing and automating software such as PHPUnit and Selenium to test for and recreate application bugs.
6. Use Jira to track, monitor, and manage application bug reports.
7. Investigate and resolve verification-process inquiries and issues.
8. Validate interpretation of applicant information, undergraduate and graduate grading, credit systems, and transcript symbols through communications with applicants and college/university registrars.

Experience

10+ Years

Level

Senior

Education

International Relations

Description :

1. Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual's provider.
2. Responsible for entering data in an accurate manner, as it is his job to update patient benefit information in the organization's insurance system and verify that existing information is accurate.
3. Requires professionals to spend extensive amounts of time on the phone with insurance companies.
4. Valuable resource to patients, providing them with pertinent information regarding their coverage.
5. Works with patients to explain coverage amounts provided by their insurance policy, so they can understand why some procedures may be covered, while others are not.
6. Helping patients arrange payment for services that are not covered by their insurance companies, discussing different financing options to fit their budgets.
7. Perform light administrative duties as needed.
8. Developmental Disabilities Institute 99 Hollywood Drive.

Experience

2-5 Years

Level

Executive

Education

Diploma

Description :

1. Responsible for processing all types of employment background screenings, based on products and services TalentWise provides to our clients.
2. Manage outbound calls while delivering exceptional customer service.
3. Utilize email, web-sites and a variety of other systems to complete the work.
4. Interact with a variety of contacts as part of completing the process.
5. Provide phone and email customer support for all types of contacts that use our products and services.
6. Responsible for adhering to all policies and processes for Verifications.
7. Responsible for retaining and accessing all required information for the products and processes.
8. Responsible for adhering to all productivity and quality standard established for Verifications.

Experience

2-5 Years

Level

Junior

Education

Elementary Education

Description :

1. Oversaw the Southern California regions responsibilities.
2. Worked closely with AE's and RSD's to increase sales and brand recognition among the medical community through multiple strategic solutions.
3. Lead special projects gathering and analyzing information to develop marketing concepts for top contracts.
4. Communicate regularly with top medical practices building relationships and educating on our products and services.
5. Serve as a liaison for customer inquiries and feedback.
6. Relay relevant information to support our sales team and improve their customer interactions.
7. Verify eligibility and expenses through multiple computer systems.
8. Handle platinum accounts under time sensitive deadlines.

Experience

0-2 Years

Level

Entry Level

Education

Business Administration

Description :

1. Verified and coordinated patients medical insurance benefits for 6 Gastroenterologists in the Plano area.
2. Worked closely with Medical Center of Plano hospital personnel to get preauthorizations & precertifications for patients needing outpatient procedures.
3. Helped medical assistants and schedulers with MRI and CT scan authorizations.
4. Responsible for capsule endoscopy authorizations Responsible for obtaining referrals from primary care doctors.
5. Answered patient's calls inquiring about insurance coverage, coordination of benefits, and doctor fees for office visits and procedures.
6. Consistently stayed ahead to catch problem situations like termed insurance plans, out of network coverage, grace period policies to effectively insure claim payment.
7. Skills Used Customer service skills, Excellent Communication skills, Able to work as a team or Independently, Self Motivated.

Experience

2-5 Years

Level

Junior

Education

Education