Insurance verification specialists Resume Sample - 10964

The following is an example of a professional / qualified Insurance verification specialists resume sample(s). These resume examples uses an integration resume layout.

Which in turn fully reviews the candidate's full work experience through the applicant's qualification profile, outlining key-qualifications, job description for the Specialist job field.

Resume Example for Insurance verification specialists

Insurance verification specialists – United Health Care

Houston, TX

Authorized to work in the US for any employer

Work Experience

Insurance verification specialists

United Health Care

Houston, TX

November 2015 to October 2017

Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type 
of assistance the provider needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment(Psychological Testing) familiar with CPT codes, putting authorizations on file for Medicaid, 
Medicare, andCommercial accounts. Applying Quickcert/Clinical authorizations for Inpatient, Residential, 
Intensive Outpatient, Detox and Partial Hospitalization. 
•Focus on resolving issues on the first call; navigate through the appropriate computer system(s) to identify 
the current status of the issue and provide appropriate response to caller 
•Deliver all information and questions in a positive, conversational and compassionate manner to facilitate 
developing a relationship with the provider, while providing the best customer service experience possible 
•Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends 
Skills Used 
Demonstrated ability to listen skillfully collects relevant information, determine immediate requests and identify the current and future needs of the member 
•Proficient problem solving approach to quickly assess current state and formulate recommendations 
•Flexibility to customize approach to meet all types of member communication styles and personalities 
•Proficient conflict skills to include ability to resolve issues in a stressful situation and demonstrating personal 

Assistant Manager

Houston, TX

August 2013 to August 2015

Role model Superior Customer Service. 
– Listen and show sensitivity to Customers concerns and handle issues in a professional and effective manner. 
– Assist in maintaining company sanitation standards. 
– Monitor and manage potential shrink. 
– Ensures Standard Operating Procedure compliance in the service department. 
– Monitor, enforce and role model company dress-code standards. 
– Perform all duties of Checker and Customer Service Assistant as well as assist with Business Center 
transactions as needed. 
– Monitor front-end activity to expedite Customer throughput by directing Customer traffic. 
– Review and approve financial transactions at cash register and Business Center (i.e., overrides, refunds, 
EBT, etc.). 
– Provide ongoing communication with store staff and management regarding daily events and concerns that 
– Listen and show sensitivity to Partners’ concerns and handle issues in professional manner. 
– Encourage and champion front-end selling activities. 
– Recognize Partners and celebrate success. 
– Convey appropriate sense of urgency in dealing with Partner and Customer issues 
– Oversee the ordering of products to ensure 100% in-stock conditions and inventory control.

Customer Service

Downtown Aquarium

Houston, TX

June 2011 to November 2011

– Created new processes and systems for increasing customer service satisfaction. 
– Cross-trained and provided back-up for other customer service representatives when needed. 
– Computed accurate sales prices for purchase transactions.


High school diploma

Lamar High School


Microsoft access (Less than 1 year), Microsoft office (Less than 1 year), Microsoft PowerPoint (Less than 1 year), Microsoft word (Less than 1 year), MS OFFICE (Less than 1 year)

Additional Information

Microsoft word, Microsoft office, Microsoft PowerPoint, Linx, Cdb, & Microsoft access

Last updated on March 17, 2018