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Insurance Office Supervisor skills for your resume and career
15 insurance office supervisor skills for your resume and career
1. Insurance Verification
- Hired weekend staff to complete insurance verification prior to deadlines as set forth by third party payers.
- Enter insurance verification information and special instructions into the module of the system.
2. HIPAA
- Maintained current patient demographic and insurance information, and ensured strict confidentiality of patients' records in accordance with HIPAA regulations.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
3. Medicaid
- Supervised six Medicaid and Medicare billing specialists.
- Managed Collection Team for all Medicare and Medicaid DME claims, for four states.
4. Performance Standards
A performance standard is an expected level of quality that must be met for a process, procedure, or goal to be considered successful or complete. They can be found across a variety of industries including everything from product testing to educational testing.
- Developed and implemented performance standards and work management skills to improve quality and turnaround time.
- Manage workload effectively to ensure department is meeting performance standards.
5. Insurance Claims
- Completed third party follow up on outstanding insurance claims through contact with payers.
- Analyzed revenue from insurance companies, interpreted coordination of benefits, and billed Medicare co-insurance claims and private statements.
6. Training Manuals
- Assist in the development and implementation of training manuals.
7. 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.
- Researched CPT and ICD-9 coding discrepancies for compliance.
- Applied appropriate ICD-9, CPT, and HCPC codes for various levels of office visits, x-rays, and surgical procedures.
8. Appeals
- Managed billing office for mental health billing and collections, cash application and authorization, appeals and authorization for Behavioral Health Services
- Coordinate with Utilization Management regarding appeals and denials.
9. 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.
- Researched delinquent and combined duplicated patient accounts.
- Set up new patient accounts *Verify insurance coverage for new & established patients and input the information into the system.
10. Insurance Billing
- Maintained all patient financial services, including verifications, insurance billings and reimbursements.
- Performed payroll/timekeeper duties, collected and posted payments & processed insurance billing/authorizations and collections accounts.
11. HMO
- Processed monthly premium payments for approximately 60 HMO's which included submitting IDT's for payments and adjusted entries as needed.
- Created spreadsheets and reports such as HMO master listing and rate tables.
12. Develop Team
- Coach and Develop team members for achieving required goals.
13. 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.
- Performed data entry and support activities to process necessary documents related to medical approval and insurance clearance.
- Performed data entry of all receiving and finalized all consumer deliveries.
14. Front Desk
- Supervised Front Desk and Receptionist in the performance clerical and administrative tasks to ensure efficient and effective operations.
- Trained front desk staff on proper registration procedures and offered patient dispute resolution for billing/customer service issues.
15. Patient Payments
- Retrieved Electronic Remittance Advice and accurately applied insurance and patient payments to accounts.
- Established patient payment arrangements and handled settlement agreements with legal representative.
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List of insurance office supervisor skills to add to your resume
The most important skills for an insurance office supervisor resume and required skills for an insurance office supervisor to have include:
- Insurance Verification
- HIPAA
- Medicaid
- Performance Standards
- Insurance Claims
- Training Manuals
- CPT
- Appeals
- Patient Accounts
- Insurance Billing
- HMO
- Develop Team
- Data Entry
- Front Desk
- Patient Payments
Updated January 8, 2025
