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Authorized representative skills for your resume and career

Updated January 8, 2025
3 min read
Below we've compiled a list of the most critical authorized representative skills. We ranked the top skills for authorized representatives based on the percentage of resumes they appeared on. For example, 23.5% of authorized representative resumes contained patients as a skill. Continue reading to find out what skills an authorized representative needs to be successful in the workplace.

15 authorized representative skills for your resume and career

1. Patients

Here's how authorized representatives use patients:
  • Reviewed patients accounts, verified information, updated accounts, and communicated with other department to ensure accurate information is accessible.
  • Research coordinator and referral coordinator, obtained insurance authorization and provided information to insurance carriers or patients regarding patient accounts.

2. Medical Terminology

Here's how authorized representatives use medical terminology:
  • Be proficient in medical terminology in order to explain denied cases, reconsideration options and the appeal processes.
  • Utilized medical scripting, medical terminology, ICD 9 codes, and CPT codes.

3. Insurance Verification

Here's how authorized representatives use insurance verification:
  • Document insurance verification and precertification for ABA, Speech and Occupational Therapy services.
  • Obtained Authorizations for various medical procedures Responsible for obtained more than 100 authorizations per week Handled Insurance Verifications and Medical Billing

4. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how authorized representatives use cpt:
  • Collected all the demographics, CPT Codes, ICD-9 codes, and verified all information on the faxes.
  • Audited requests to ensure that proper ICD-9 and CPT coding was applied.

5. Insurance Authorizations

Here's how authorized representatives use insurance authorizations:
  • Obtained insurance authorization, managed all insurance coping and billing with absolute accuracy to insure efficient payment.
  • Verify insurance and assist with third party insurance authorizations for billing purposes.

6. Data Entry

Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.

Here's how authorized representatives use data entry:
  • Performed data entry of utilization, authorization, and referrals.
  • Selected as Pre-Authorization liaison for the data entry department.

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7. Insurance Eligibility

Here's how authorized representatives use insurance eligibility:
  • Registered new patient's demographics, verified health insurance eligibility and benefits regarding diagnostic procedure requests prior to authorization approval.
  • Verified primary insurance, secondary insurance and Tertiary Insurance eligibility.

8. Authorization Process

An authorization process is a server security mechanism process to determine whether or not a user has access to use a resource -- files, computer programs, application features, data, etc. The aim is to control the access and the processing that follows solely depend on the function that triggered the authorization requirements.

Here's how authorized representatives use authorization process:
  • Obtain necessary medical documents and making determinations on correct authorization process.
  • Used sound judgment in making decisions to keep the authorization process moving forward in accordance with contractual timeliness standards.

9. Insurance Coverage

Here's how authorized representatives use insurance coverage:
  • Verified insurance coverage and obtained authorization or referral to expedite product delivery to the customer.
  • Researched and verified inpatient and outpatient psychiatric insurance coverage.

10. HIPAA

Here's how authorized representatives use hipaa:
  • Work collaboratively with associates and supervisors to ensure that best practices are shared and kept confidential under HIPAA guidelines.
  • Followed all rules and regulations per HITECH ACT and HIPAA Omnibus Rule.

11. Insurance Benefits

Here's how authorized representatives use insurance benefits:
  • Verified and documented insurance benefits online, by phone, and fax.
  • Enter insurance benefits in the appropriate systems prior to appointments.

12. Medicaid

Here's how authorized representatives use medicaid:
  • Verified Medicare and Medicaid eligibility utilizing Passport and other online tools and phone calls.
  • Maintained expert knowledge of plans, changes in Mass Health, New Hampshire Medicaid and the Health Connector.

13. Patient Accounts

Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.

Here's how authorized representatives use patient accounts:
  • Maintained inbound call system regarding client Radiology procedures for patient accounts and registration.
  • Analyze patient accounts to check all information is correct in system.

14. HVAC

Here's how authorized representatives use hvac:
  • Received inbound calls from AHS contractors reporting mechanical failures to warranted Appliances, Plumbing and HVAC.
  • Authorize parts and labor for HVAC and Plumbing work orders.

15. Quality Customer Service

Here's how authorized representatives use quality customer service:
  • Provided prompt and quality customer service to over 75 clients on a daily basis.
  • Provide quality customer service to clients, adjustors and physicians.
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List of authorized representative skills to add to your resume

The most important skills for an authorized representative resume and required skills for an authorized representative to have include:

  • Patients
  • Medical Terminology
  • Insurance Verification
  • CPT
  • Insurance Authorizations
  • Data Entry
  • Insurance Eligibility
  • Authorization Process
  • Insurance Coverage
  • HIPAA
  • Insurance Benefits
  • Medicaid
  • Patient Accounts
  • HVAC
  • Quality Customer Service
  • Plumbing
  • ICD-10
  • Medical Services
  • Outbound Calls
  • Medical Procedures
  • Patient Appointments
  • Appeals
  • Inbound Calls
  • Utilization Management
  • Radiology Studies
  • ICD-9
  • Medical Necessity
  • Veterans
  • Chemotherapy
  • HMO
  • Hippa
  • MRI
  • Durable Medical Equipment
  • Authorization Request
  • Physical Therapy
  • Outpatient Care
  • Benefit Coverage
  • Patient Demographics
  • DIACAP
  • Routine Services
  • Scheduling Issues
  • Direct Support
  • Authorization System
  • Computer System
  • Patient Eligibility
  • Medical Documentation
  • IDX
  • Contract Coverage

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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