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Top 50 Insurance Specialist Skills

Below we've compiled a list of the most important skills for a Insurance Specialist. We ranked the top skills based on the percentage of Insurance Specialist resumes they appeared on. For example, 38.9% of Insurance Specialist resumes contained Insurance Companies as a skill. Let's find out what skills a Insurance Specialist actually needs in order to be successful in the workplace.

These Are The Most Important Skills For A Insurance Specialist

1. Insurance Companies
demand arrow
high Demand
Here's how Insurance Companies is used in Insurance Specialist jobs:
  • Credentialed new providers with multiple insurance companies.
  • Faxed requests to insurance companies for authorizations.
  • Responded to correspondence from insurance companies.
  • Performed data-entry from set up to conclusion of holding company transactions and prepared letters to insurance companies requesting responses when needed.
  • Resubmitted claims which had not been received by the insurance companies also proof of timely filing when required.
  • Contacted insurance companies to request authorization and the number of visits needed for a certain time period.
  • Work with insurance companies to collect on funds owed to the bank.
  • Deposited refund checks in payment of loans from insurance companies.
  • Prepared insurance packets for insurance companies to issue payment.
  • Process refund checks to insurance companies and patients.
  • Posted and adjusted payments from insurance companies.
  • File appeals to insurance companies for payment.
  • Coordinated between contractors, insurance companies and homeowners in regards to completed inspections.
  • Contacted insurance companies to review benefits for homecare services and eligibility for coverage.
  • Assisted with the drafting and implementation of new policies for Student Health Services Third-Party billing for insurance companies.
  • Faxed clinicals to insurance companies for review in order for them to make a determination of a request.
  • Obtain authorizations and precertifications from insurance companies to insure patients scans will be covered.
  • Managed re-submittal of claims in a timely fashion for re-processing on corrected claims, or claims not received by insurance companies.
  • Perform follow up on denied claims to insurance companies .
  • Promoted) Responsible for calling various insurance companies regarding payments Documenting reference numbers, payment dates, denials and approvals

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14 Insurance Companies Jobs

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2. Customer Service
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high Demand
Here's how Customer Service is used in Insurance Specialist jobs:
  • Accessed insurance websites, automated systems and customer service for patient verification of benefits and eligibility.
  • Facilitated resolution for escalated customer service calls and assisted management with internal projects with the department.
  • Clarified insurance requirements to personnel in the field and/or customers when needed providing excellent customer service.
  • Provided excellent customer service with insurance agents, insurance company representatives and borrowers.
  • Started out as a Customer Service Representative providing telephone assistance to Insureds.
  • Call center operations and customer service representation.
  • Provided excellent, outstanding customer service.
  • Demonstrate excellent customer service skills when assisting claimants with completing appeals, explaining SSA processes, and all other SSA issues.
  • Provided customer service, such as limited instructions on proceeding with claims or referrals.
  • Provide effective and outstanding customer service guidance for all AAA Partner Clubs.
  • Provide quality customer service to providers, patients and payers.
  • Improved sales and customer service rating by 30%.
  • Provide excellent, accurate, and detailed customer service.
  • Provided Customer Service via, phone and in person.
  • Recommended changes to existing company methods/procedures to increase the accuracy, efficiency and responsiveness of the customer service department.
  • Provided customer service to policyholders regarding quotations, coverage options, billing, claims resolution and record maintenance.
  • Call center customer service representitive.
  • Answer multi-line phones, schedule appointments, verify insurance while providing excellent customer service to patients.
  • Assisted customer service with patient calls regarding statements they had received and televox calls.
  • Provide highest level of customer service.

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833 Customer Service Jobs

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3. Medicaid
demand arrow
high Demand
Here's how Medicaid is used in Insurance Specialist jobs:
  • Designed presentations using PowerPoint to simplify Medicare, Medicaid, and Supplemental Insurance rules and regulations.
  • Experience writing Medicaid benefit and coverage policy and guidance for States or other Medicaid stakeholders.
  • Applied Medicare or Medicaid legislation and regulatory requirements to develop policy and operational guidance.
  • Submitted appeals to Medicare and Medicaid with all pertinent medical documentation.
  • Experience implementing policy and programs related to Medicaid benefits and coverage.
  • Interview and assess all newly admitted clients for Medicaid eligibility.
  • Assist with implementation of Medicaid Managed Care within organization.
  • Recommended changes to Medicare or Medicaid policy or operations.
  • Researched and billed patients' Medicaid/Medicare accounts.
  • Complete exemptions forms for clients who have Managed Care and submit to New York Medicaid Choice for processing.
  • Evaluate and reviewed Medicare and Medicaid program policy issues to draft policy documents, regulations, or procedures.
  • Billed Medicare, Medicaid, Third Party Insurance, and Self-pay for past due medical accounts.
  • Processed medicaid denials, utilized MS Office, MS Outlook;
  • Research Medicare or Medicaid program issues and develop appropriate responses that include citation of regulations, policy issuances and guidance.
  • Check Medicaid benefits on a weekly basis via e-paces system to review Medicaid eligibility and cases due for recertification.
  • Advised on the application of Medicare or Medicaid laws or policies to implement models of care for enrollees.
  • Experience coordinating and tracking the progress of Medicare, Medicaid and SSA related processes or projects.
  • Utilized Medicare, Medicaid and Tricare 4 Life websites.
  • Verified various insurance accounts from Medicare,BcBc,Aetna,Medicaid, United Healthcare etc.
  • Verified insurance Provided billing and coding services Scheduled patients Phone Skills X-Ray duplication Prepared Medicaid Claims

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9 Medicaid Jobs

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4. Data Entry
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high Demand
Here's how Data Entry is used in Insurance Specialist jobs:
  • Streamlined denial data entry process and created additional queries to simplify monthly reporting.
  • Correct data entry and any coding errors or modifications and resubmit timely.
  • Perform data entry of patients information and retrieve statements from computer
  • Confirm accuracy of documentation and data entry.
  • Provided office support such as mail distribution, customer service, oral and written communication, filing, and data entry.
  • Possessed typing and data entry skills while responding to a sense of urgency while speaking to customers.
  • Assisted with other work overflow including covering receptionist duties, data entry, and commissions.
  • Toggled between 5 or more systems processing claims and doing data entry.
  • Interest calculations, data entry, file maintenance and loan processing.
  • Verified patients' information and status; heavy data entry.
  • Perform data entry and correspondence for office.
  • Assisted with data entry when needed.
  • Update data into internal system/Data Entry.
  • Assisted in all areas of administrative work, including data entry, receptionist duties, file organization, research and development.
  • Perform data entry and data retrieval services, providing data for inclusion in medicalrecords and for transmission to physicians.
  • verified insurance for durable medical equipment, answered phones, data entry
  • Verified that insurance was accurate and up to date Data Entry Customer Service
  • G, Fredericksburg, TX, 78624 Insurance Specialist Data Entry Clerk Histology Tech Asst.
  • Processed Applications for Insurance Attained quotes for customers Data Entry Clerical work Salary Requirements $15/hourly
  • Answered phones Scheduling Insurance verification Data entry Greeting patients Collecting payments Insurance coding

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90 Data Entry Jobs

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5. Insurance Policies
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high Demand
Here's how Insurance Policies is used in Insurance Specialist jobs:
  • Ensured adherence to property and liability insurance requirements at loan closing and upon receipt and review of insurance policies and endorsements.
  • Processed Homeowners Insurance and flood insurance policies, contacting insurance agents to obtain current insurance information.
  • Notified manager upon detection of irregularities found on insurance policies.
  • Reviewed insurance policies to determine coverage.
  • Maintained renewal of property hazard insurance policies for line of credits and commercial loans by contacting insurance agencies and borrowers.
  • Received inbound customer service calls from policy holders with pertinent questions regarding their life insurance policies.
  • Obtain information on insurance policies to verify the accuracy and completeness of information for claims.
  • Processed new insurance policies, review policies issued, and updated information accordingly.
  • Contacted insurance agencies weekly and sent requests for error corrections on insurance policies.
  • Solicit, sell and service Property, Casualty and Life Insurance policies.
  • Assist with explaining insurance policies, laws, and regulations.
  • Assisted with updating insurance policies for clients and insurance agents.
  • Assessed and adjusted insurance policies for dental coverage as required.
  • Process and record new insurance policies and claims.
  • Take phone calls, update auto insurance policies.
  • take information for insurance policies.
  • Answered 50-100 inbound calls daily Discussed insurance policies with potential customers Answered any insurance related questions from current customers
  • Provided customer service Processed insurance policies Resolved client issues
  • Resolve customer issues Perform administrative tasks Respond to underwriting concerns Sell various types of insurance policies Day to day office management
  • Update hazard insurance policies Research documents Manage accounts/make payments Receive incoming telephone inquires Provide exceptional customer service Correspond with insurance companies

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6. Medical Records
demand arrow
high Demand
Here's how Medical Records is used in Insurance Specialist jobs:
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Gathered and evaluated medical records, set value range and developed negotiations strategy.
  • Cross-trained in registration, medical records and medical assisting positions.
  • Maintained medical records and assisted with medical transcription.
  • Requested authorizations and medical records.
  • Fax release of records form to physician offices to receive copies of patients medical records.
  • Scanned electronic medical records into the patient accounts and our payment tracking system.
  • Submit medical records as requested, reviewing coding of account for accuracy.
  • Reviewed and submitted claims to insurance companies' medical records department.
  • Research denials; gather medical records to ensure proper coding.
  • Filled in at front desk and medical records as needed.
  • Submit corrected claims along with medical records when needed.
  • Record and file patient data and medical records.
  • Worked on medical records with the doctors.
  • Researched medical records in the EMR system.
  • Completed data needed to obtain referrals Coordinated medical records of patients -analyzed codes indexing and storing into database.
  • Reviewed payment records and maintained accurate written information in the patient medical records to justify claims information.
  • Processed medical insurance claims for large family practice (8 physicians) Receptionist, scheduled patients & maintained medical records
  • Billed patients accounts to insurances for services * Scanning of Medical Records, HIPAA
  • Handled review and disbursement of medical records in coordination with HIPAA guidelines.

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13 Medical Records Jobs

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7. Phone Calls
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high Demand
Here's how Phone Calls is used in Insurance Specialist jobs:
  • Verified insurance eligibility utilizing websites and phone calls to insurance companies.
  • Received incoming phone calls and researched items regarding forced insurance.
  • Detail Oriented: Kept accurate notes of phone conversations in clients computer database and issues discusses during the phone calls 6.
  • Follow up with claimants and employer through phone calls and mail to obtain necessary information to process claims timely and efficiently.
  • Responded to phone calls or written correspondence received from providers relating to enrollment issues as needed.
  • Fielded phone calls and help with inquiries from claimants, shops, insurers and salvage buyers.
  • Assist other members of the team with initial claim interviews and answering in-bound phone calls.
  • Answered patient and insurance customer service phone calls in a professional and timely manner.
  • Make necessary phone calls to insurance agents and companies to resolve reported issues.
  • Generate patient's payments and field patient phone calls regarding billing.
  • Followed up on claims making phone calls to insurance companies.
  • Provided quick and timely response to highly escalated phone calls.
  • Answer incoming phone calls pertaining to patient accounts.
  • Answer inbound and outbound phone calls.
  • Make and receive phone calls.
  • Answer agent phone calls answering questions and offering services Collected and updated customer information to ensure coverage was correct.
  • Answer phone calls, e-mails, and other inquiries from internal and external customers in a timely manner.
  • Answer multiple phone calls thru out the day.
  • Processed denials from Insurance companies Answered inbound phone calls from patients Mail room duties.
  • Post Insurance Payments Handle Patient Phone Calls Support for Chiropractors

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4 Phone Calls Jobs

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8. Patient Care
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high Demand
Here's how Patient Care is used in Insurance Specialist jobs:
  • Obtained insurance verification and medical benefit authorization with regard to outpatient care, including benefits for evaluation, treatment and testing.
  • Obtain referrals from patient care centers and verify eligibility.
  • Front office duties, medical claims processing, insurance appeals, data entry, transcription and assisting therapist in patient care.
  • Serve as a key member of a busy Neurosurgery practice assisting three doctors and ensuring optimal patient care.
  • Analyze referrals from hospitals, medical facilities and physicians and coordinate continuing patient care.
  • Coordinate with outside facilities for referrals to their office for patient care.
  • Create and process the patient care record folder and retrieve medical records.
  • Provided excellent patient care and responded to billing and benefit inquires.
  • Serve on the Community Advisory and Patient Care Review Committees.
  • Oversee the billing of insurance companies for patient care.
  • Secured patient care by negotiating service cost with providers.
  • Assisted with appoints and patient care when needed.
  • Oversee authorization requests for patient care Liaison between Physical Therapy Clinic and Medical Offices.
  • Answer multiple phone lines Help patient care advocates solve problems or issues they have with patients on the escalation queue Verify Insurances

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165 Patient Care Jobs

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9. CPT
demand arrow
high Demand
Here's how CPT is used in Insurance Specialist jobs:
  • Submit corrected claims when appropriate, assigning ICD-9-CM, CPT, HCPCS, and / or service codes when necessary.
  • Verified in and out of network benefit coverage and see if CPT codes are covered and how they are paid.
  • Verified in and out of network benefit coverage and insured that CPT codes were covered and how they were paid.
  • Assigned the appropriate ICD 9 and CPT 4 codes for all outpatient and inpatient visits that required authorization.
  • Processed all insurance claims with proper use of CPT and ICD-9 coding procedure for proper and prompt reimbursement.
  • Ensured that appropriate ICD 10, HCPCS, and CPT coding is listed within database to maximize efficiency.
  • Entered charges, reading CPT and ICD-9 codes, making sure appropriate modifiers and units are billed correctly.
  • Input charges, CPT and ICD-9 codes, as indicated from encounter slips and notes from physician.
  • Serviced client by providing CPT procedure, ICD-9 Diagnostic, and HCPCS Level II codes.
  • Prepare physician charges for processing, using ICD-9/ICD-10 and CPT coding procedures.
  • Filed claims to insurance companies with use of ICD and CPT codes.
  • Assigned and updated ICD 9 and CPT coding for optimum reimbursement.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Verified appropriate ICD 9, 10 and HCPC/CPT code coverage.
  • Combine CPT codes as needed.
  • Used CPT-4 and ICD-9 coding.
  • Translate procedure information into alphanumeric medical codes; utilize several different coding systems, including ICD-9, ICD-10 and CPT codes.
  • Excel, word, quick books medical software icd9 and cpt coding and some billing knowledge
  • Trained in ICD-9 and CPT codes in order to initiate pre-certifications and authorizations.
  • Entered CPT and ICD for billing and billed out to the insurance companies .

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2 CPT Jobs

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10. Patient Accounts
demand arrow
high Demand
Here's how Patient Accounts is used in Insurance Specialist jobs:
  • Monitored outstanding patient accounts to ensure collection of unpaid debts while consistently exceeding collection goals.
  • Verified eligibility and updated patient accounts.
  • Assisted office staff and patients in maintaining patient accounts and addressing concerns regarding insurance and patient accounts.
  • Update patient accounts and note the account to reflect the aggressive collection logic necessary for expediting payments.
  • Filed claims electronically using PCEMC+ software and managed patient accounts on the Micro-four practice management software.
  • Coordinate all insurance issues and oversee patient accounts through follow up with patient account reps.
  • Oversee five employee representatives to ensure proper handling of patient accounts.
  • Managed patient accounts that included hardship, collections, and bankruptcy.
  • Create patient accounts, and update insurance information.
  • Updated patient accounts and information on daily basis.
  • Post electronic and manual checks to patient accounts.
  • Reviewed and made appropriate corrections to patient accounts.
  • Process billing and collections of patient accounts.
  • Resolve Issues with Insurance and patient accounts.
  • Scanned documents to patient accounts.
  • Updated and properly documented patient accounts in accordance with federal regulations, including HIPAA provisions.
  • Managed insurance refund requests Printed Itemized statements regarding patient accounts and dispersed funds
  • Account Resolution: Follows up on all previously billed patient accounts to assure timely payment and accurate reimbursement.
  • call third parties and patients to collect outstanding receivables on patient accounts for anesthesiologists at Johns Hopkins
  • Verify correct ICD-9 and CPT codes for a variety of specialties Set up new patient accounts

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2 Patient Accounts Jobs

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11. Life Insurance
demand arrow
high Demand
Here's how Life Insurance is used in Insurance Specialist jobs:
  • Assisted brokers in prospecting and targeting candidates for suitable life insurance solutions, though the knowledge of 20 plus quality carriers.
  • Prospected and sold Long Term Care Insurance, Medical Health Insurance, Medicare Supplement, Medicare Advantage, and Life Insurance.
  • Exceeded goals for up selling other products like life insurance, auto insurance, home insurance, and earthquake insurance.
  • Write new business including homeowners, personal auto, commercial auto, general liability and life insurance referrals.
  • Recruited by top District Manager to grow and administer life insurance sales for his agency and new agents.
  • Assisted both Clients and Financial Representatives on the in's-and-out's of Life insurance while processing changes and withdraws.
  • Educate potential buyers about the benefits of life insurance policies as well as the different types offered.
  • Sell to the AAA member base and beyond, life insurance and fixed annuity products.
  • Partnered with trust officers, relationship managers and financial consultants to sell life insurance.
  • Passed statewide exams in Kansas to procure licenses to sell Auto/Home/Life insurance policies.
  • Meet with potential clients to discuss their current life insurance policy.
  • Develop leads, schedule appointments, and address life insurance needs.
  • Market and solicit new life insurance business for the agency.
  • Entered all data from new business life insurance applications.
  • Help families save money Skills Used Life insurance producer license
  • Assisted Financial Advisors with life insurance sales including providing quotes, completing applications and monitoring applications through policy issuance.
  • Trained branch personnel in selling life insurance as add-ons and facilitated insurance awareness seminars.
  • Prepared and presented life insurance quotes in person and by telephone for property and casualty, life and health.
  • Process exchanges, loans, and conversions in regards to life insurance product guidelines and regulations.
  • Provided consultation on Medicare supplements Annuities, Senior Life Insurance Products and Long Term Care.

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40 Life Insurance Jobs

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12. EOB
demand arrow
high Demand
Here's how EOB is used in Insurance Specialist jobs:
  • Verify Private/State Insurances, EOB, Pre-Determinations
  • Pull EOB using SILO -Enter all TPL, coinsurance, contractual, reimbursement amounts to bill secondary claims.
  • Followed through on rejections from insurance companies, reviewed EOB's for correct ICD-9 and CPT codes.
  • Review EOB's to ensure accurate processing and to determine if an appeal is needed.
  • Experience reading and interpreting EOB's, and entering into accounts receivables.
  • Adjust accounts in accordance to contracts with insurance carriers per the EOB.
  • Submitted paper claims with primary EOB's to secondary payers.
  • Write off adjustments when the total charges on the EOB in McKesson doesn t matched the total charges in SMS.
  • Interpret and process (post) Explanation of Benefits (EOB's).
  • Scanned all EOB's that came in.
  • Review EOB's for denials.
  • Conduct general office duties while handling initiatives involving EOBs and reconciliations.
  • Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts Insure accuracy of insurance claims.
  • Identify coding or billing problems from EOB'S and work to correct the error in a timely manners.
  • Search EOB through Emdeon and OHP (One Health Port) to verify insurance payments and adjustments.
  • Researched and resolved discrepancies, EOB rejections, and other issues with outstanding patient accounts.
  • Ensured timely and efficient processing of EOBs for denials and low reimbursements.
  • Reviewed EOBs to make sure the correct contractual adjustment were posted.
  • Filed secondary claims to appropriate carriers with primary EOBs.
  • Processed mail denials, eob's received from staff accountants, and other correspondence received in a timely manner.

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13. Medical Billing
demand arrow
high Demand
Here's how Medical Billing is used in Insurance Specialist jobs:
  • Backed by academic qualifications including upcoming and extensive course work in medical billing and coding procedures.
  • Processed medical billing statements for Physical Therapy & Rehabilitation Center manually and electronically.
  • Referred unresolved patient grievances to designated medical billing coding specialists for further investigation.
  • Work with plus supervised medical billing/collections staff up to 20, ensuring quality of work and preserving staff rights.
  • General Office: filing and, computer skills, medical billing knowledge of the insurance procedure.
  • Input coding for specialty insurance plans and setup medical billing including all required paperwork.
  • Handled all aspects of medical billing; directly assisted Office Manager and Billing Manager.
  • Submitted CMS 1500 Medical billing to insurance carriers both electronic and on paper.
  • Entered all super bills into medical billing system for processing to correct Carriers.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Utilized knowledge of complex medical billing, coding, and credentialing systems.
  • Maintained required medical billing records, reports and files.
  • Entered data of daily charges and medical billing.
  • Input information into the AccuMed12 medical billing software.
  • Process simple medical billing and collection claims.
  • Handled day to day medical billing procedures.
  • Execute all aspects of medical billing.
  • Worked medical billing scrubber for potential issues that did not meet LCD and NCD requirements and coding guidelines.
  • Work for company for 7 years as a Insurance Specialist Medical Collections Medical Billing Medical Insurance Verification Customer Services Data Entry

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1 Medical Billing Jobs

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14. Accounts Receivables
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high Demand
Here's how Accounts Receivables is used in Insurance Specialist jobs:
  • Review customer accounts/patient accounts receivables/aging and take necessary steps to keep accounts current.
  • Monitor and follow up for unpaid insurance accounts receivables by completing daily payer follow-up in accordance with department guidelines.
  • Assisted in bring accounts receivables from a two year back up to a 60 day current aging date.
  • Worked with month-end closing procedures, refunds, accounts receivables and deposits, Trained new staff.
  • Worked with accounts receivables, collecting payments, refunds, and debt collections.
  • Monitor patients accounts receivables, post payments, follow up on denials.
  • Track and follow up on unpaid Accounts Receivables and claims payment status.
  • Prepared and submitted comprehensive reports on monthly Accounts Receivables work list.
  • Produced weekly reports of accounts receivables to show trends from carriers
  • Manage accounts receivables for multiple clients in a production environment.
  • File appeals when needed for accounts receivables and billing.
  • Processed Accounts Receivables and followed up on denials.
  • Apply insurance payments to patient's accounts receivables.
  • Manage and follow up on Accounts Receivables.
  • Keep current on accounts receivables.
  • Reduced accounts receivables, through reconsiderations and appeals.
  • Managed accounts receivables, collection of amounts owed, preparation of reports and evaluations of sales and receivables information.
  • Maintained and worked accounts receivables for all insurance payors including the posting of rejections and payments.
  • Managed accounts receivables for Medicare, Medicaid and Commercial insurance accounts, ensured minimized bad debts.

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15. Health Care
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average Demand
Here's how Health Care is used in Insurance Specialist jobs:
  • Provide health care professionals with information concerning benefit clarification, eligibility requirements and claim status using Epic System.
  • Managed policy or operations in order to evaluate health care programs and quality improvement program.
  • Assist health care professionals with obtaining prior authorization for medication request.
  • Prepared and sent out itemized bills that were required by the Health Care Cost Containment Act in an appropriate time period.
  • Researched, interpret and applied health care laws, regulations or policies to provide guidance or recommend solutions for payer issues.
  • Act as a liaison between patient, health care insurance and physician to collect and provide accurate service before deadline.
  • Worked with Health care staff to ensure proper collection of Health insurance information and answering patient questions regarding their accounts.
  • Enroll customers in the most appropriate plan by analyzing health care needs, current providers and prescription drug requirements.
  • Coordinated appeal to US Health Care for $1 million in overdue monies; recovered $800K.
  • Processed medical insurance claims, medical coding, and maintained patient records in the health care settings.
  • Verify health insurance, primarily Medicare, for in-coming clients seeking Home Health Care or Hospice Services.
  • Communicate with nursing agencies and other health care professionals regarding set up of DME and Home Care.
  • Received calls from parents and school officials requesting informational packages and forms for students health care plans.
  • Entered data information for all of United Health Care claims for the pathology labs.
  • Review of Medical Policy for member and health care provider understand.
  • Submitted billing and medical report to patient health care providers.
  • Planned, edited and drafted federal health care regulations.
  • Assisted patients with health care coverage changes.
  • Spearheaded unprecedented, collaborative, multiagency effort to provide a survey of health care plan benefit information.
  • Develop and maintain on-going working relationships with third party payors and their clients to correctly process health care claims.

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726 Health Care Jobs

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16. Payment Arrangements
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average Demand
Here's how Payment Arrangements is used in Insurance Specialist jobs:
  • Established payment arrangements or determined action needed to resolve outstanding balances.
  • Contacted potential surgical candidates to negotiate payment arrangements.
  • Initiated and monitored payment arrangements with customers.
  • Negotiated payment arrangements with customers.
  • Called insurance payers to make payment arrangements and to follow up on previous payment commitments from denied claims.
  • Assisted patients with payment arrangements on their accounts, for current, bad debt and collections.
  • Worked with insurance companies on claims, troubleshooting, and worked with patients on payment arrangements.
  • Improved collections by sitting down with the patients for benefit reviews and payment arrangements.
  • Interfaced directly with clients to initiate the payments process, scheduled payment arrangements,
  • Inform patients of balances due and help them to set up payment arrangements.
  • Contacted customer's weekly, making acceptable payment arrangements on accounts.
  • Assist patients with billing and insurance questions along with payment arrangements.
  • Ensured correct payment arrangements are made on account for patient portion.
  • Post insurance payments and make payment arrangements with patients.
  • Set up Patient payment arrangements and billing statements.
  • Set up payment arrangements on self-pay accounts.
  • Assist patients /customers with payment arrangements.
  • Process payments and set up payment arrangements Compute and present insurance quotes and presentations.
  • Processed precollection and collection of past due accounts making payment arrangements when needed.
  • Report all trending denial reason to Practice Manger Assist patient with payment arrangements

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17. Billing Questions
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average Demand
Here's how Billing Questions is used in Insurance Specialist jobs:
  • Provided information and processed policy changes, billing questions and claim handling for policyholders and financial institutions.
  • Provide customer support with insurance information and billing questions.
  • Research and resolve billing questions for patients, staff, physicians and insurance carrier in response to patients services demographics.
  • Respond to all inquiries regarding billing questions and problems, as well as formal written appeals and fair hearings.
  • Facilitated communication between patients and the medical teams as well as assisted with billing questions.
  • Assist patient's with billing questions, received payments, making A/R adjustments and transfers.
  • Worked closely with Customer Service to ensure that patients received answers to their billing questions.
  • Assist Spanish speaking patients with appointments, billing questions and translate for medical personnel.
  • Answered complex billing questions and attempt to collect and past due premiums on policies.
  • Serve as liaison with insurance carriers and also answer billing questions patients may have.
  • Assist answering incoming calls and assist patients with scheduling or billing questions.
  • Communicated with patients regarding any billing questions they may have had.
  • Answer patients billing questions, handle collections on unpaid accounts.
  • Answer phone and help patients with any billing questions.
  • Provide customer service by answering billing questions and concerns.
  • Answer patient calls and assist in billing questions.
  • Answer all patients billing questions.
  • Checked in patients as well as assited them with billing questions and appointments.
  • Work Medicare claims from Optum and Meditech Correct claims for errors Assist customers with billing questions
  • Answered phones * Prepared patient charts * Filing * Collected payments * Answered billing questions

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18. Scheduling Appointments
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average Demand
Here's how Scheduling Appointments is used in Insurance Specialist jobs:
  • Front desk responsibilities including answering phones, greeting customers, scheduling appointments and typing correspondence and medical transcription from a Dictaphone.
  • Optimized patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.
  • Provided additional support by scheduling appointments, greeting patients, general bookkeeping, generating invoices, and posting payments.
  • Assist as back up in taking patient called, scheduling appointments and any other customer service needs.
  • Light administrative duties: checking emails, send and receive mail and faxes, and scheduling appointments.
  • Provide support to other areas such as check-in/check-out, reception, scheduling appointments, and accepting payments.
  • Handled all patient customer service calls in addition to scheduling appointments.
  • Worked as needed in front office taking payments and scheduling appointments.
  • Assisted front desk staff with scheduling appointments and phone calls.
  • Assist with scheduling appointments for new and existing patients.
  • Assist with answering incoming calls & scheduling appointments.
  • Assisted the dentist in cleaning and placing amalgams and composites, x-rays and charting patients files.Insurance claims and scheduling appointments
  • Verify insurance benefits for patients, collections, answering multi-line phones, scheduling appointments and other office duties.
  • Front desk duties included checking in patients for their appointments, collection of copays, scheduling appointments.
  • Worked scheduling appointments, admitting patients, verifying insurance, posting, billing and collections.
  • answered phones, filing, scheduling appointments and whatever was asked of me
  • Verified Insurance Benefits Submit Claims/Checked Claim Status with Insurance Companies Collections/Processing payments Check in/Check out Patients Scheduling Appointments Filing

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19. Front Desk
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Here's how Front Desk is used in Insurance Specialist jobs:
  • Work the front desk when coverage is needed, check patients in and out, answer telephones, schedule appointments.
  • Covered front desk, answered phones, scheduled appointments, collected co-pays and verified all demographics were up to date.
  • Maintained appropriate supply level at the front desk, always maintained to keep a neat, clean work area.
  • Front Desk responsibilities include receiving the mail and posting all the information on spreadsheets regarding herder documents and information.
  • Implemented and trained office to paperless documentation and filled in for clinical assistants and front desk when needed.
  • Assisted front desk daily with patient flow, charge entry, making follow-up appointments and answering telephones.
  • Managed central and satellite campuses front desk staff for all insurance training, data input and updates.
  • Assisted the front desk with patient check-in, registration, and verification of patient insurance benefits.
  • Close patient contact either via the phone or in person at the front desk.
  • Front desk: scheduled appointments, maintained patient and billing records.
  • Assisted supervisory staff with training of all front desk staff.
  • Take payments from front desk and over the phone.
  • Front desk duties Schedule/Reschedule, cancel and verify appointments.
  • Assisted front desk with check in and check out.
  • Front desk collections and scheduling of future appointments.
  • Managed all front desk responsibilities.
  • Balanced daily insurance and front desk payments and made daily deposit for facility.
  • Demonstrated proficiencies in telephone and front desk reception within a high volume environment.
  • Posted insurance payments and adjustments as needed Assisted the Front Desk in answering of telephones and routing patients as needed.
  • front desk, insurance verifications/referrals/authorizations, answer phones, schedule appts/procedures, coding, call in prescriptions

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14 Front Desk Jobs

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20. Insurance Products
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Here's how Insurance Products is used in Insurance Specialist jobs:
  • Deepened existing client relationships by counseling partnering agents and financial services experts with new and cutting-edge life insurance products.
  • Introduced innovative marketing tactics, including cross-selling insurance products and identifying promising sales leads within existing client portfolios.
  • Addressed customer inquiries relating to insurance products and services to improve customer satisfaction.
  • Promoted insurance products through multiple channels by acquiring extensive product knowledge of various personal line insurance carriers across all 50 states.
  • Contributed to the overall success and growth of the agency through continual marketing of fixed insurance products to field agents.
  • Provide insurance companies with regulator guidelines for solicitation of insurance products in the State of Alabama.
  • Be an expert on Freeway Insurance products and benefits and use that expertise to close sales.
  • Team leader - teaching corporate property casualty agents on life insurance products, presentation and procedures.
  • Evaluate insurance needs and educate consumers on available insurance products that fit their budget.
  • Make sales calls, customer service, explain insurance coverage and recommend insurance products.
  • Assisted members with valuable insurance products such as GAP and Mechanical Warranties.
  • Created spreadsheets and general ledgers used corporately to track Insurance Products.
  • Promoted USAA insurance products and services to customers via telephone.
  • Experience in dealing with multiple insurance products and services.
  • Cross sold personal lines insurance products to customers.
  • Marketed and sold all lines of insurance products.
  • United Medicare Advisors is an independent insurance agency that specializes in insurance products for seniors.
  • Started the Auto Insurance division for Garland Commercial Insurance Services Sold P & C insurance products
  • Managed a book of business increasing the sale of health and life insurance products.
  • Coordinate and oversee startup operations offering retail Insurance products in 32 financial centers.

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16 Insurance Products Jobs

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21. Hipaa
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Here's how Hipaa is used in Insurance Specialist jobs:
  • Followed HIPAA guidelines by maintaining confidentiality of patient s personal and financial information.
  • Adhered to HIPAA guidelines, company privacy and confidentiality policies and company procedures.
  • Maintain strict confidentiality with HIPAA regulations.
  • Follow HIPAA compliance and confidentiality guidelines.
  • Ensured office practices are in compliance with HIPAA regulations; effectively communicate to staff and patients HIPAA regulations.
  • Review account information and explain charges and other related inquiries from insurance carriers while complying with HIPAA guidelines.
  • Recorded all steps taken and information into the company system while upholding strict HIPAA guidelines.
  • Full knowledge of ICD-9 coding, HIPAA and insurance including all commercial and Medicaid plans.
  • Maintained customer's files and stayed in compliance with HIPAA Privacy Laws.
  • Ensured that all patient information was handled in accordance to HIPAA regulations.
  • Prepared files to satisfy outside requests ensuring HIPAA compliance.
  • Observe and maintain patient privacy, HIPAA compliant.
  • Followed HIPAA guidelines when working with patient information.
  • Follow HIPAA guidelines in handling patient information.
  • Implemented HIPAA guidelines when obtaining medical records.
  • Followed all pertinent HIPAA regulations.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
  • Direct communication with insurance companies in regards to hospitals bills in a respectful and professional manner following all HIPAA guidelines.
  • Schedule appointments, feedback sessions, and reviews with clients Assign and complete tasks in Salesforce Accumulate medical records Maintain HIPAA confidentiality

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22. Outbound Calls
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Here's how Outbound Calls is used in Insurance Specialist jobs:
  • Perform outbound calls to providers and insurance entities for additional information.
  • Handled all inbound/outbound calls while meeting or exceeded our monthly goal of 100k for a 24 month period.
  • Place outbound calls to obtain needed documents to assist patients with co-pay assistance or claims processing.
  • Placed outbound calls to provide prompt and courteous service while resolving any questions about customers account.
  • Produced a high volume and quality of outbound calls to physicals, patients and insurance companies.
  • Make outbound calls to review customer's current policies in order to perform a needs analysis.
  • Executed outbound calls to employers to determine the reason for the dismissal of their employees.
  • Prepared Final Benefit Summary and Received/Outbound calls to Payers to check coverage on benefits.
  • Make outbound calls to MD offices and complete prior authorizations for patient's medication.
  • Answered inbound and outbound calls in a high volume fast paced call center.
  • Assisted with outbound calls to insurance agencies regarding coverage of clients accounts.
  • Make outbound calls to insurance company to get major medical information.
  • Processed inbound and outbound calls in support of customer needs.
  • Placed outbound calls to insurance agencies to update policies.
  • Take inbound and make outbound calls to achieve objectives.
  • Executed outbound calls to existing customer base.
  • Collaborated with third party agencies to verify & request proof of insurance through inbound & outbound calls in a professional manner.
  • Take inbound and make outbound calls using the Artiva Call flow.
  • handled inbound & outbound calls in regards to vehicles that were involved in an accident.
  • Call cent environment Inbound calls Outbound calls Process payments Clerical duties Verify documents Update insurance

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23. FHA
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Here's how FHA is used in Insurance Specialist jobs:
  • Executed detailed FHA loan audits by inspecting closing packages and identifying documentation deficiencies; ensured loan insurance acquisition within set parameters.
  • Reviewed and processed Five to seven FHA loans daily, meeting the turnaround requirement of 48 hours per loan.
  • Prepared all closing documentation in accordance to client's request, company, FHA, investor and regulatory compliance.
  • Submit VA & FHA government loan packages to regional offices for issuance of mortgage insurance and loan guaranty.
  • Remitted premiums required for FHA, PMI, Disaster, and Disability & Hazard Insurance(s).
  • Processed FHA loans in accordance with HUD regulations, leveraging thorough understanding of FHA programs.
  • Examined FHA insurance application provided by sellers in FHAC, and requested required changes.
  • Trained new employees in FHA policies and procedures in order to be successful analyst.
  • Maintained compliance within investor guidelines for FHA, USDA, and Conventional Loans.
  • Prepared package and mail FHA Case Binders when requested from audit.
  • Job Responsibilities: Review and Preparation of FHA Closing documents.
  • Audit all FHA and VA loans for accuracy and completeness.
  • Perform Online functions via FHA/VA Connection prior to submission.
  • Compile loan packages and complete FHA insuring applications.
  • Performed due diligence of FHA & VA loans.
  • Filed Mortgage Insurance Claims for GSE, FHA, VA, and Primary Mortgage Insurance Claims for various servicers and investors.
  • Meet with Reporting Analyst to target reporting inconsistencies while managing FHA, USDA, and VA Portfolios for Roundpoint Mortgage.
  • Post Closing Insures FHA, VA & USDA loans by entering the appropriate information via internet.
  • Underwrite and insure FHA and VA loans through The FHA Connection and the Veterans Administration April 1998 - April 2000
  • Maintained & analyzed PMI escrow accounts Prepared monthly balance billing reports for PMI and FHA Resolved customer issues

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24. Insurance Agents
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Here's how Insurance Agents is used in Insurance Specialist jobs:
  • Corresponded and coordinated with insurance consultants at loan closings and with producers/ insurance agents at renewals.
  • Collected necessary documentation from insureds and insurance agents necessary to complete insurance claim.
  • Provide world-renowned services to customers and insurance agents.
  • Processed financial incentives for licenses insurance agents.
  • Research and investigate complaints against insurers, insurance agents, brokers, adjusters, agencies and other licensed individuals and entities.
  • Make necessary outbound phone calls to insurance agents and companies to update insurance policies and obtain needed (missing) information.
  • Obtained missing information from field, insurance agents, or customers via phone, email, or fax as necessary.
  • Provided information and advice pertaining to insurance to the public, insurance agents, companies and adjusters.
  • Work closely with Insurance Agents, Adjusters, Law Enforcement and Attorneys on a daily basis.
  • Contacted insurance agents prior to making any corrections on the homeowner's documents for accuracy.
  • Recruited licensed and non-licensed life and health insurance agents nationwide to join the team.
  • Assisted customers with applications to become insurance agents or start an insurance agency.
  • Provided support to customers, insurance agents, insurance carriers and payroll branches.
  • Call insurance companies and insurance agents to research and update customer accounts.
  • Processed request to have payee codes updated for insurance agents.
  • Take inbound calls from consumers and insurance agents.
  • Handled correspondence with borrowers and Insurance agents.
  • Promoted to Life Insurance Specialist responsible for working one on one with insurance agents in an effort to increase sales.
  • Trusted to train new insurance agents in accordance with Primerica standards and expectations.
  • Tracked canceled and expiring insurance required on collateralized loans; follow up with borrowers, insurance agents to obtain current information.

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25. Insurance Plans
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Here's how Insurance Plans is used in Insurance Specialist jobs:
  • Utilized working knowledge of insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits.
  • Enrolled patients in Medicaid/Medicare health insurance plans and educated patients in specific health insurance benefits, requirements and phases.
  • Review and verify our insurance plans and confirm patients eligibility.
  • Interfaced with representatives for corporate insurance plans.
  • Specialized in promoting Medicare insurance plans.
  • Reside as the expert on the knowledge of insurance plans & processes to include PPO, DHMO, Government/Medicaid Plans.
  • Verify co pay assistance and load plan along with insurance plans into the proper computer base.
  • Correspond with State, Federal and Medicare programs, as well as all other insurance plans.
  • Explain features, advantages and disadvantages of various policies to promote sale of insurance plans.
  • Researched and appealed denied claims which resulted in additional payment from the insurance plans.
  • Verified all GEDC participating insurance plans to ensure fee and coverage accuracy.
  • Assign vision and dental providers for HMO and POS insurance plans.
  • Experienced dealing with all insurance plans and explaining bills to patients.
  • Attend monthly round Table meetings concerning various insurance plans.
  • Offer insurance plans to consumer.
  • Update insurance plans in QSI.
  • Analyzed AR reports for all insurance plans to insure maximum reimbursement Resolved payment denials, which required reviewing of medical records
  • Reviewed and explained insurance plans to patients to guarantee full understanding of payment policies and procedures
  • Specialized in all HMO/MC/PPO Insurance plans as well as extensive Knowledge in Medicare and Medicaid.
  • Help the patients maintain their insurance plans and be elegible for different drugs

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7 Insurance Plans Jobs

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26. New Clients
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Here's how New Clients is used in Insurance Specialist jobs:
  • Collaborate with management on new clients while maintaining attentive, individualized, and personalized service.
  • Seek out new clients and develop clientele by networking to find new customers and generate lists of prospective clients.
  • Meet with, enroll, process applications and advise new clients of Financial Benefits Services on benefit options.
  • Meet with business owners, human resource professionals, employees, and individuals to acquire new clients.
  • Prospected for and developed a portfolio of new clients selling Life Insurance Policies and Retirement Plans.
  • Prospected for new clients and assisted with day to day office organization and support.
  • Quote new clients in State Farm services and sign them up with new products.
  • Quoted homeowners insurance, updated Agency Pro database with new clients and transactions.
  • Promoted ancillary products to 65 existing and new clients each month.
  • Explored different channels in search of new clients.
  • Quoted new clients, met target sales goals.
  • Assigned initial diagnosis codes to new clients.
  • Managed paperwork for new clients.
  • Seek out leads and new clients.
  • Quoted and wrote policies for existing and new clients, ranging from personal watercraft to million dollar yachts.
  • Provided customer service to various healthcare contract customers and went over benefits for new clients.
  • Verify new clients insurance/co pay information, obtain precertifications when necessary, submit and follow up on ins.
  • Service with current clients Insurance and financial reviews with existing clients Needs specialist for new clients
  • Job responsibilities: Communication with the clients Search of the new clients Preparation of the insurance policy

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1 New Clients Jobs

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27. Unpaid Claims
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Here's how Unpaid Claims is used in Insurance Specialist jobs:
  • Communicated with insurance companies on unpaid claims to get rejections/denials refiled.
  • Follow up on unpaid claims pertaining to home medical supplies such as c-pap, machines, wheel chairs, beds.
  • Create spreadsheets to be review by unit and find resolution to collect unpaid claims and resolve coding error.
  • Filed insurance claims, researched unpaid claims, patient billing, counseled surgery patients and booked surgeries.
  • Specialized in accounts management and the review of unpaid claims through weekly reports and thorough research.
  • Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
  • Assigned to print monthly reports, set up payment plans, and follow-up on unpaid claims.
  • Stayed in contact with numerous insurance companies regarding benefits, non-covered treatment or unpaid claims.
  • Contacted insurance company via telephone and websites checking status on unpaid claims.
  • Follow up of all unpaid claims and resolution of same.
  • Implemented a case management tracking system for unpaid claims.
  • Developed systems for tracking and managing unpaid claims.
  • Fixed errors on all the unpaid claims.
  • Review Task Management queue for unpaid claims.
  • Monitor unpaid claims, initiate tracers.
  • Followed up on unpaid claims.
  • Send out unpaid claims to the client.
  • Monitor unpaid claims, initiate tracers Resubmit claims as necessary
  • Follow up on unpaid claims with standard billing cycle & timeframe.
  • Researched and rectified delinquent/rejected insurance claims Contacted insurance companies regarding unpaid claims Handled patient telephone account inquiries/requests/complaints

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28. Special Projects
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Here's how Special Projects is used in Insurance Specialist jobs:
  • Performed special projects, maintained re-coding spreadsheets, and assisted in re-training exercises as delegated by insurance director.
  • Completed special projects assigned within a specified period.
  • Assist manager/insurance supervisor with special projects.
  • Facilitated unit meetings for special projects.
  • Assist with year end audit; Assist Chief Operating Officer and Director of Finance with special projects.
  • Assist's in special projects for the Director regarding large VIP accounts and book acquisitions.
  • Processed an average of 100 or more loans daily and mastered deadlines on special projects.
  • Involved in special projects, converting cycle 5 clients to cycle 10.
  • Assist in the collection of data for audits and special projects.
  • Work on special projects and assignments as deemed necessary by Management.
  • Assisted on special projects, and in HMDA and Payoff Departments.
  • Manage any special projects requested by supervisor or team lead.
  • Assisted Project Supervisor and Management with special projects and training.
  • Assisted with special projects when insurance guideline's change.
  • Worked special projects for members with outstanding invoices.
  • Completed special projects and targeted reviews as required.
  • Work special projects as requested by management.
  • Process various special projects as needed.
  • Perform other duties as assigned, special projects, department operations, policies and procedures.
  • Put in charge of special projects and private mortgage payment disbursals.

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148 Special Projects Jobs

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29. Hippa
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Here's how Hippa is used in Insurance Specialist jobs:
  • Maintain confidentiality and adhere HIPPA guidelines with handling patients' information
  • Maintained patient privacy and confidentiality complaint with HIPPA regulations.
  • Maintain confidentiality with HIPPA protected information.
  • Verified patient's insurance status active, and called insurance companies to verify coverage and benefits while verifying HIPPA.
  • Educated with HIPPA laws while handling documentation for providers, patients and insurance companies
  • Review and process invoices per HIPPA regulations prior to electronic claims going out.
  • Adhere to HIPPA standards in all support for Senior Membership Enrollment Team.
  • Followed all HIPPA and compliance regulations to ensure compliant enrollments.
  • Complied with HIPPA, OSHA and Infection Control standards.
  • Maintained compliance in areas such as OSHA and HIPPA.
  • Review HIPPA with patients before treatment plans/checkout.
  • Practice HIPPA rules and other state/federal regulations.
  • Trained in HIPPA and OSHA regulations.
  • Certified HIPPA and Medicare compliant.
  • Adhere to HIPPA privacy practices.
  • Comply with federal, state and company policies, procedures and regulations including HIPPA regulations; ePHI and physical PHI information.
  • Ensured invoices were processed in accordance to HIPPA regulations and compliance guidelines Ensured the resolution of payments for the appropriate accounts.
  • Updated HIPPA knowledge by participating in CPSI's annual HIPPA recertification.
  • Maintain HIPPA regulatory rules in regards to patient's privacy.
  • Verified HIPPA at all times Educated the caller in regards to the medical plan

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30. High Volume
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low Demand
Here's how High Volume is used in Insurance Specialist jobs:
  • Handled high volume of incoming and outgoing calls and managed inquiries from customers, insurance agencies, and other outside parties.
  • Respond to a high volume of calls while making outbound calls to insurance companies and physicians with complete financial responsibility.
  • Managed high volume inbound and outbound calls concerning AARP home and auto insurance policies, with persistence and accuracy.
  • Received, responded and resolved customer phone inquiries regarding real estate loans in a high volume call center.
  • Managed a high volume of incoming calls from homeowners regarding flood, homeowners, and condo insurance.
  • Worked in a high volume production environment tracking flood insurance, while meeting established goals.
  • Provided accurate and timely response to a high volume of members and prospective member calls/contacts.
  • Handle high volume telephone correspondence with Insurance carriers, submit monthly statements to members.
  • Provided superb customer service to member in a high volume call center.
  • Manage high volumes of insurance refunds to Minute Clinic Contracted health plans.
  • Handled high volume of calls regarding auto insurance policies and billing.
  • Provided front office coverage when needed performing high volume tasks.
  • Handled high volume of Incoming and Outgoing calls.
  • Handled high volume customer inquiries over the phone.
  • Manage a high volume of rental insurance claims.
  • Process high volume of applications and refunds request.
  • Demonstrated expertise at handling high volume calls.
  • Answered high volume phone calls.
  • Created insurance contracts using applications from both online enrollments as well as those from high volume paper scanner.
  • Handled high volume of calls in telecenter environment.

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25 High Volume Jobs

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31. HMO
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low Demand
Here's how HMO is used in Insurance Specialist jobs:
  • Verified all financial classes including HMO, PPO, Commercial, Medicare, Medicaid and Charity service offered by the hospital.
  • Reviewed HMO form filings for compliance with the Texas Administrative Code and the Texas Insurance Code rules and regulations.
  • Charge and data entry for hospital and office: Medicare, Medicaid, HMO's and PPO's.
  • Generated referrals for HMO and POS patients, Prepared end of day reports, and made deposits.
  • Manage care for HMO's negotiating with the Insurance Companies on the capitation's inclusions and exclusions.
  • Assisted in the collecting on insurance claims including HMO/PPO claims for twelve providers.
  • Create and submit claims for outpatient Third Party and Medicare HMO insurance companies.
  • Update policy and training to employees on all HMO & PPO policy changes.
  • Controlled referrals and authorizations for visits for all HMO's patients.
  • Verified HMO and PPO patient insurance in order to verify eligibility.
  • Claim follow-up, appeals, and resolution of HMO/ PPO payers.
  • Analyze and adjudicate HMO and PPO hospital and professional claims.
  • Corrected Edit reports and denials from local HMO's.
  • Process HMO/PPO correspondence, appeals and insurance forms.
  • Review and assess PPO and HMO dental plans.
  • Processed claims to Medicare, Medicaid, PPO's and HMO's.
  • Followed all procedures of Commercial, Managed Care, HMO, PPO Healthcare Plans and protocols.

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32. Patient Demographics
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Here's how Patient Demographics is used in Insurance Specialist jobs:
  • Verified patient demographics, determined insurance eligibility and benefit coverage for patients admitted to the facility for inpatient and outpatient activity.
  • Verify Insurance, prior authorizations, input patient demographics and prescription information into system, verify physician's information.
  • Update Epic with necessary patient demographics and insurance information.
  • Enter patient demographics and referrals into electronic system.
  • Register patient demographics into the system of necessary.
  • Verify all patient demographics and payer information.
  • Verified and entered all patient demographics.
  • Submitted appeals, updated patient demographics.
  • Reviewed and updated patient demographics.
  • Entered referrals, benefits, authorizations, and patient demographics into the medical manager system.
  • Entered patient demographics and charges daily for all Indiana providers within seven business days.
  • Entered patient demographics and notations using the PPM system.
  • Enter patient demographics, insurance companies, referring physicians.
  • Created patient demographics using MS Word Programs.
  • Completed pre-registration via phone, verifying insurance information And patient demographics.
  • Supported the Demographics Department by providing data entry into Allscripts PM system of all insurance and patient demographics.
  • Verified insurance benefits; posted payments; entered patient demographics; billed third-party insurances and auto claims.
  • Enter new patient demographics into MYSIS Tiger database Check patient's in/out.
  • Enter new patient demographics and update existing information into Brighttree.
  • Verify patient demographics * Verify insurance/benefits * Coordinate billing requirements * Patient advocacy / Customer Service

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33. Policy Changes
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Here's how Policy Changes is used in Insurance Specialist jobs:
  • Reported policy changes and company conditions affecting customer satisfaction.
  • Serviced commercial accounts with policy changes, certificates of insurance, billing and assist in claims processing.
  • Provided policy quotations and executed policy changes for auto, home, motorcycle and Personal Umbrella policies.
  • Serviced customers in processing policy changes, responding to questions, and other ways as needed.
  • Handled policy changes, claims, premium payments, billing, and other service functions.
  • Service policy holders, take payments, answer questions, make policy changes, etc.
  • Complete ongoing training to stay abreast of product, service and policy changes.
  • Responded to requests for policy changes according to customer needs and company procedures.
  • Perform maintenance for policy changes, letter disbursements, and customer notice.
  • Performed maintenance as necessary for policy changes, letters and notices.
  • Review insurance documents for accuracy and update policy changes as needed.
  • Perform Maintenance as necessary for policy changes and new loan set-ups.
  • Processed policy changes, claims, and wrote claim checks.
  • Process policy changes and issuance transactions received through various channels.
  • Conduct monthly meetings to inform Claims Representatives of policy changes.
  • Assist insureds with claim processing and or any policy changes.
  • Provided rate quotes and executed online policy changes.
  • Updated policy changes and collected customer payments.
  • Established contact with pre-existing clients to help facilitate insurance policy changes and renewals.
  • Market to prospects * Quote and bind auto, homeowners, and life insurance * Process policy changes

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34. Patient Payments
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Here's how Patient Payments is used in Insurance Specialist jobs:
  • Verified claim payments and status from insurance and patient payments than balance billed the accounts to the proper beneficiary
  • Billed primary and secondary insurance claims, worked Accounts Receivable reports, and posted insurance and patient payments.
  • Researched past due balances and collected patient payments (including over the phone).
  • Posted insurance and patient payments, filed insurance and sent monthly patient statement.
  • Post Medicare, Commercial, Medicaid, BWC and patient payments.
  • Assist office manager in billing daily charges and posting patient payments.
  • Apply insurance and patient payments to patient account balances.
  • Post all incoming insurance payments and various patient payments.
  • Take patient payments; Print end of day reports.
  • Enter charges for in-patient providers and post patient payments.
  • Handled daily deposit of insurance and patient payments.
  • Applied and received patient payments.
  • Collected insurance and patient payments.
  • Post patient payments to system.
  • Post insurance and patient payments.
  • Posted Insurance and patient payments and balanced books everyday.
  • Posted insurance and patient payments to daysheets and computer.
  • Entered charges, posted patient payments, discussed patient concerns.Worked daily/ monthly reports.Verified insurance coverage/billing issues.

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35. Providers
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low Demand
Here's how Providers is used in Insurance Specialist jobs:
  • Build and maintain relationships with applicants, providers, government agencies, and community organizations through constant communication.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures, and regulations.
  • Prepared credentialing documents of all Doctor of the corporation to become participating providers of major insurance companies.
  • Review billing edits and provide insurance providers with correct information.
  • Create and fax authorization notification to providers.
  • Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
  • Placed orders for office supplies, faxed correspondence to other providers, and other job duties as assigned.
  • Review and respond to daily messages; emails, actions, telephone encounters from providers and co-workers.
  • Support investigators when conducting field work or interviews with providers, beneficiaries or Law Enforcement agents.
  • Research and respond to providers, members via telephone, electronics, or written inquiries.
  • Identified the network providers, plan structure and prior authorization as needed.
  • Call and verify effective dates and termination dates with other providers.
  • Advised on how to cancel and change insurance providers.
  • Communicated with insurance companies, providers, and patients.
  • Submit billing data to insurance providers.
  • Notate detailed special coordination instructions on members policies, load and terminate other providers information on members policies.
  • Communicated issues to medical providers to prevent reoccurrences.
  • Submit claims to insurance providers accurately, ensuring the facility is reimbursed for all procedures performed in a timely manner.
  • Filed Claims with over 5 Vison Companies and handled over 10 different Insurance Providers.
  • Advised customers of there Primary care providers Provided claim status to providers on customers coverage and benefits.

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56 Providers Jobs

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36. Computer System
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low Demand
Here's how Computer System is used in Insurance Specialist jobs:
  • Documented all info received in computer system.
  • Navigated various computer systems for data.
  • Enter patient information into computer system.
  • Performed all daily, month and year end computer system back up and closing; including financial reports for physician.
  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
  • Use dual screens, Microsoft Office, Outlook Email and other computer systems specific to the job.
  • Prepare new employees on the floor for taking phone calls, and operating multiple computer systems.
  • Obtained insurance information on mortgage loans for clients, updated computer system with homeowner insurance.
  • Worked for varies hospitals in different states; I worked with different computer systems.
  • Researched, implemented and maintained clinical software (ChiroSuite EHR) and computer system
  • Handled all client questions and updated computer system to reflect these changes.
  • Entered claim payments, reserves and new claims via the computer system.
  • Reconciled balances and payments between insurance companies and clients computer systems.
  • Handle all accounting issues and make billing notes in computer system.
  • Utilize multiple computer systems and electronic payer systems on daily basis.
  • Performed data entry into division data bases and computer systems.
  • Perform daily updates and backups on office computer system Maintain strict confidentiality and follow all HIPAA guidelines/regulations
  • Added demographic information for new patients in to the computer system .
  • Worked in Availity, Navinet, Mckesson, and hospital computer systems.
  • Work Availity, Navinet, Mckesson, Citrix and Meditech computer system.

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3 Computer System Jobs

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37. Insurance Programs
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low Demand
Here's how Insurance Programs is used in Insurance Specialist jobs:
  • Provided guidance to customers regarding unemployment insurance programs and related activities.
  • Assist with organizing and coordinating insurance programs within assigned marketing areas.
  • Customized insurance programs, ensuring minimized financial risk.
  • Specialize in commercial insurance programs for construction industry.
  • Specialized in insurance programs and asset management.
  • Prepared written correspondence regarding health insurance programs.
  • Customized insurance programs to suit individual customers.
  • Managed Aviation, International Liability, and all lines of Sponsors insurance programs including property, auto, and general liability.
  • Evaluated the provisions of private health insurance programs to make recommendations for improving or modifying program operations within the agency.
  • Supervised and managed projects involving Owner Controlled Insurance (OCIP) and Contractor Controlled Insurance programs (CCIP).
  • Customized insurance programs to suit individual customers, often covering a variety of risks.
  • Served as field office Program Manager and Team Leader for Social Insurance programs.
  • Created customized insurance programs to suit customer's needs.
  • Developed, analyzed, and implemented a competitive insurance programs providing various alternatives for client consideration.

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5 Insurance Programs Jobs

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38. Party Payers
demand arrow
low Demand
Here's how Party Payers is used in Insurance Specialist jobs:
  • Processed and follow up on all insurance claims to third party payers by financial class to ensure timely payment.
  • Filed claim appeals for payment, communicated with third party payers and coding staff for resolution of unpaid charges.
  • Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
  • Retrieved medical reports/notes, EOB's, authorizations, referrals as needed to submit to third party payers.
  • Researched and evaluated claims for proper reimbursement; worked with third party payers to ensure maximum collections.
  • Reviewed insurance aging reports and contact third-party payers to determine claim status and achieve account resolution.
  • Verified and approved all refund requests to third party payers and patients prior to processing.
  • Negotiated cases and coordinated medial and third-party payers to ensure medical expenses were paid.
  • Maintained contact with third party payers, claimants and attorneys to determine treatment status.
  • Edited insurance claim form based on written or verbal communication with third party payers.
  • Obtain insurance coverage and authorization approval from primary and third party payers.
  • Executed external audits requested by Medicare, Medicaid and third-party payers.
  • Submitted current medical claims to third party payers for reimbursement.
  • Processed refunds to third party payers and patients as necessary.
  • Worked with third party payers to determine benefits and eligibility.
  • Contacted third party payers requesting claim status information.
  • Researched denied claims and submitted documents to include medical records, pre-authorization as needed to third-party payers for reconsideration of payment.
  • Prepared appeals to third party payers to ensure maximum reimbursement Reviewed accounts aging on a monthly basis and followed up appropriately.
  • Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Selected Contributions: Communicate daily with patients and third party payers.

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39. Delinquent Accounts
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low Demand
Here's how Delinquent Accounts is used in Insurance Specialist jobs:
  • Implemented third-party collections process for delinquent accounts.
  • Monitored delinquent accounts and placed collection calls.
  • Researched delinquent accounts and insurance denials.
  • Locate and notify patients of delinquent accounts by e-mail, mail, telephone, or personal visits to solicit payment.
  • Resolve 600-675 delinquent accounts quarterly, according to the rules and regulations of the State of Maryland and Unemployment Insurance.
  • Communicate with Patients on variety of subjects including, if necessary, delinquent accounts.
  • Coordinate the action needed on delinquent accounts, escalated calls and complaints.
  • Worked to complete title perfections as needed and collected on delinquent accounts.
  • Initiated and completed special projects to recoup monies on delinquent accounts.
  • Collected 30-day delinquent accounts via automated dialing and inbound VRU systems.
  • Update accounts as needed for delinquent accounts for follow ups.
  • Collect monies for delinquent accounts pertaining to insurance billing.
  • Collect over $10,000 per month on delinquent accounts.
  • Generate revenue and pursuing delinquent accounts on primary Insurance.
  • Follow and report status of delinquent accounts.
  • Report delinquent accounts to credit bureau.
  • Send demand letters for delinquent accounts.
  • Obtained payment for delinquent accounts.
  • Follow up with insurance companies on outstanding and delinquent accounts Make all necessary adjustments on accounts Make all necessary demographic charges
  • Verify patient eligibility Manage delinquent accounts File claims daily Reconcile patient accounts Run daily and monthly reports

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40. Medical Necessity
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low Demand
Here's how Medical Necessity is used in Insurance Specialist jobs:
  • Addressed denied claims, claims pended for medical necessity and claims pending for supporting documentation/medical records.
  • Audited new customer files to verify medical necessity and satisfaction of coverage criteria.
  • Obtained authorizations for services rendered, medical records, certificate of Medical Necessity.
  • Submit appeals as necessary and provide documentation to validate medical necessity.
  • Utilize InterQual Criteria, CMS Guidelines, medical and administrative policies to support medical necessity.
  • Provided documentation of medical necessity for procedures along with ICD-9 and CPT codes.
  • Drafted and sent medical necessity letters, ensuring patient files contained copy.
  • Obtained appeals when necessary for child s needs due to medical necessity.
  • Collected data from above sources to provide evidence of medical necessity.
  • Verified patient insurance Reviewed medical documentation for accuracy/medical necessity.
  • Obtained referrals, authorizations and pre-determination for medical necessity.
  • Complete Medicare MSPs and medical necessity.
  • Prepared appeals and reconsiderations for medical necessity and preauthorization.

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41. EMR
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low Demand
Here's how EMR is used in Insurance Specialist jobs:
  • Review existing paper documentation and develop electronic templates and documents using EMR tools.
  • Used the STAR EMR database to record all documentation necessary for the timely filing of claims and appeals.
  • Schedule new patient appointments, set up EMR chart, and contact new patient with appropriate information.
  • Structured and maintained printing and reviewing claims using EMR system.
  • Entered orders into the EMR system efficiently and without errors.
  • Worked on the Next Gen EMR/EHR Practice Management System.
  • Recommended and assisted transition from paper charts to EMR.
  • Assisted in the implementation of an EMR system.
  • Converted to EMR using E clinical works software.
  • Maintained patient and insurance information in EMR system.
  • Processed in Excess of 60 1500 Physicians claims per day through the provider EMR and Emdeon billing system.
  • Provide expert subject matter knowledge on EMR software (Medicat), clinical operations and work flow.
  • Enter the patient s data into raintree medical billing Software and e-MD Software for EMR/HER.
  • Received and routed messages or documents Maintained medical records, EMR or correspondence files.
  • Build and maintain templates on Greenway PrimSuite EMR system.
  • Post all Humana payments into EMR system.
  • Document referrals and authorizations in Epic Emr.
  • Advanced use of practice management software NextGen, ERA Trizetto, and EMR Allscripts and Epic.
  • Greeted / Registered Patients * Placed Written Orders into EMR * Scanned and Indexed Patient Documents * Gathered Insurance Information
  • verify insurance Insurance EOB denials Patient refunds Charge entry/ Billing EMR Obtain authorization/ referral if required

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42. Insurance Issues
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low Demand
Here's how Insurance Issues is used in Insurance Specialist jobs:
  • Analyze facts in inquire/complaint to properly communicate with insurance company officials, representatives, and consumers to resolve insurance issues.
  • Verified Medical and RX benefits problem solved and answered incoming calls regarding medication or insurance issues.
  • Communicate verbally with Florida citizens regarding insurance issues by answering the Consumer Helpline.
  • Implemented solutions to array of mortgage insurance issues and provided clarification when necessary.
  • Provided patients with information on reconciling insurance issues and financial difficulties.
  • Investigate and respond to sensitive, complex and high priority consumer inquiries concerning insurance issues with emphasis on written communication.
  • Designed and delivered training materials to department heads to keep abreast of current insurance issues and compliance.
  • Resolve insurance issues with patients, insurance companies, and referring doctor's offices.
  • Resolve insurance issues in a timely and accurate manner on the front end processing.
  • Call insurance companies and patients to work out insurance issues and verify eligibility.
  • Handle insurance issues and resolve when needed while maintaining availability for incoming calls.
  • Conducted research on title insurance issues to determine whether ALTA policy covered claim.
  • Worked on special projects (managed care adjustments/insurance issues).
  • Used conflict management skills to resolve complex home insurance issues.
  • Call patients regarding past due balances or insurance issues.
  • Worked with patients to resolve their insurance issues.
  • Answered multi-lined phones to speak with mortgagors about their flood insurance issues.
  • Resolved customer's tax and insurance issues in a professional manner.
  • Research insurance issues Account maintenance to ensure proper disbursement of funds Payment of premiums on escalated accounts
  • Worked within a strict timeframes to research and resolve escalated hazard insurance issues.

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43. Telephone Calls
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low Demand
Here's how Telephone Calls is used in Insurance Specialist jobs:
  • Perform various follow up activities including telephone calls, appeals, letters and utilize payer websites to achieve timely resolution.
  • Chase Loss Draft Provide front line, direct contact with clients and customers through receiving or placing telephone calls.
  • Served as the initial point of contact for homeowners agents and loan officers via inbound telephone calls.
  • Answer telephone calls from clients and speak with them when they visit the clinic in person.
  • Answer telephone calls and intercept and send emails from clients and other government and state offices.
  • Collect delinquent bills by making outbound telephone calls to customers or by written correspondence when appropriate.
  • Answered patient telephone calls and solved any issues or questions that arose.
  • Placed outbound telephone calls to obtain information needed to respond to customers.
  • Handle all telephone calls and mail requests timely, accurately and courteously.
  • Answered incoming telephone calls and triage to appropriate personnel as indicated.
  • Answer incoming patient, insurance company and physician office telephone calls.
  • Answer any telephone calls and schedule any appointments.
  • Make appropriate telephone calls to resolve any issues.
  • Directed telephone calls to appropriate staff.
  • Answered telephone calls and facsimile transmittals.

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3 Telephone Calls Jobs

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44. Additional Information
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low Demand
Here's how Additional Information is used in Insurance Specialist jobs:
  • Make necessary arrangements for medical records requests, completion of additional information requests, etc.
  • Collect additional information, if necessary, from facility staff to assist in eligibility/verification process.
  • Update account in system with any action taken or additional information attained when verifying benefits.
  • Contacted insurance companies to inquire claim status and provided additional information when necessary.
  • Responded to timely (within 24 hours) to emails sent by faculty requesting additional information as it pertains to authorizations.
  • Identify and resolve unpaid and denied claim issues and proactively provide additional information that enhances and reduces future claim denials.
  • Verified that insurance make payments for services rendered, and followed up when any additional information was required.
  • Conducted daily call outs to homeowners and insurance companies to request additional information needed to process the claim.
  • Resolved disputed claims by gathering, verifying, and providing additional information; following-up on claims.
  • Worked with the underwriter for any additional information that may have been needed from the client.
  • Respond to payer requests for additional information regarding claims and communicated such requests to the agency.
  • Update consumers account in system with any action taken or additional information.
  • Enter additional information to the assigned drug line such as deductibles.
  • Inform patients when their insurance requests additional information from the member.
  • Contacted insurance companies/adjustors for claim status and additional information.
  • Complete thorough and in depth reference and credit checks on all subs, following up and requesting additional information as needed.

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18 Additional Information Jobs

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45. Insurance Authorizations
demand arrow
low Demand
Here's how Insurance Authorizations is used in Insurance Specialist jobs:
  • Coordinate insurance authorizations through provision of evidence based clinical information (confirmed by documentation) to insure optimization of inpatient authorizations.
  • Verify all new patient insurance information, approving workers comp, Medicaid and Commercial Insurance authorizations.
  • Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Performed scheduled reviews on patients' insurance authorizations.
  • Obtained insurance authorizations for various medical procedures.
  • Obtain insurance authorizations for the procedures ordered.
  • Retrieve Insurance Authorizations for Medical Supplies.
  • Obtain insurance authorizations for genetic testing lab
  • Obtained insurance authorizations for potential admissions.
  • Obtain insurance authorizations for medical services.
  • Collect, compile, analyze, and report data regarding insurance authorizations and shared with hospital administration.
  • Obtain insurance authorizations for home care services.
  • Coordinated best medical care to patients based off of doctor recommendations and insurance authorizations
  • Secure insurance authorizations and pre-certs for patient services both internal and external to Cooper.
  • Verified Insurance Benefits & Covered Services Requested Referrals & Insurance Authorizations Computer Entry of CPT Codes for Insurance Billing
  • Posted Insurance Payments Created Insurance Claims Obtained Patient Insurance Authorizations Provide Customer Service for Patients
  • Obtain Insurance authorizations Provided quality customer service Schedule patient appointments/procedures Maintain patient records.

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46. Monthly Reports
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low Demand
Here's how Monthly Reports is used in Insurance Specialist jobs:
  • Generated monthly reports to senior management regarding patient insurance statuses resulting in more patients staying on commercial insurance.
  • Researched and resolved insurance denials, balanced and prepared daily deposits, and prepared daily/monthly reports.
  • Review daily/monthly reports and take appropriate corrective action.
  • Assisted with suspense projects/monthly reports for Human Resources and managers such as studies of improving work measurements or performance standards.
  • Maintained appropriate internal safeguard over AR records, billing processes and collection of cash flow daily and run monthly reports.
  • Balanced monthly reports and daily reports and working daily deposits for banks and creating batches for payment posters.
  • Upload information in the system, maintaining daily, weekly, and monthly reports.
  • Composed and provided management with monthly reports (new/paid business).
  • Developed and maintained monthly reports for Director of Home Health.
  • Closed end of month followed by processing monthly reports.
  • Compiled, typed, and processed monthly reports.
  • Produced monthly reports using advanced Excel spreadsheet functions.
  • Handled monthly reports for four pathology labs.
  • Review workload and provide monthly reports.
  • Prepared monthly reports for managers.
  • Prepare monthly reports for department.
  • Followed up with insurance companies via monthly reports ensuring that all claims are paid promptly and in a timely manner.
  • Maintain and follow up on monthly reports to ensure capture rate on pending and denied claims.
  • Produce daily and monthly reports on transactions.Assisted in calling patients for their next day appointments.
  • Pulled from monthly reportsinsurance policies that covered collateral assets held by the bank and Corresponded with numerousloan officers and insurance agents.

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7 Monthly Reports Jobs

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47. Bcbs
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low Demand
Here's how Bcbs is used in Insurance Specialist jobs:
  • Communicated routinely with representatives from BCBS, Medicare and Medicaid to checked claim status and verified insurance.
  • Post payments from all insurance payer's (i.e BCBS, Medicare, Medicaid, and commercial payers).
  • Maintained less than a three percent of the outstanding AR due to the facility from BCBS insurance.
  • Worked with numerous commercial insurance and Arkansas BCBS claims that had been denied for numerous reasons.
  • Advised management on some of our credentialing issues within BCBS and third party insurance and Medicare.
  • Corrected major issues with billing of BCBS within the technical part of the system.
  • Provided support to medical billing staff and reconciled all BCBS related accounts.
  • Prepare and submit clean claims to BCBS electronically or by paper.
  • Attended daily conference call with project support team at BCBSM.
  • Verified patient insurance using BCBS, C-Snap and Medicaid.
  • Crossed trained in BCBS, Medicare and Medicaid.
  • Worked aged/outstanding/unpaid BCBS and UHC claims.
  • Bill coded claims to BCBS.
  • Call BCBS regarding discrepancies in payments and postings if necessary Ensure each payment is accurate and compliant with contract discount.
  • Research all accounts to ensure they are paid according to payer fee schedule.Posted and balanced all BCBS remittance.
  • Faxed and recieved documents and scanned in the BCBS system.
  • Process all BCBS claims accurately and in a timely manner.
  • Handle pre authorizations forms for BcBs of Delaware.
  • Filed laboratory claims with Medicare, Medicaid, BCBS, Champus, Black Lung and various PPOs.
  • Worked BCBS accounts from beginning to end Manually post cash remits 1500 billing

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48. Icd-9
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low Demand
Here's how Icd-9 is used in Insurance Specialist jobs:
  • Coded (ICD-9, HCPCS and CPT) office visits, inpatient and outpatient procedures for the Internal Medicine department.
  • Transmit claims electronically and manually daily with the appropriate CPT and ICD-9 codes with proficiency and time sensitivity.
  • Used broad knowledge of medical terminology, CPT and ICD-9 coding to ensure correct reimbursement of medical claims.
  • Research and verify procedure and diagnostic are correct from patient Electronic Health Reports via ICD-9 and CPT.
  • Reviewed and corrected diagnosis (ICD-9) and procedure (CPT) codes on patient claims.
  • Enter ICD-9 Codes from Medical Providers into PCO for the CMS Risk Adjustment process.
  • Investigated and reviewed CPT and ICD-9 coding errors and appealed any denied claims.
  • Processed ICD-9 and CPT codes for Physician, inpatient, and outpatient procedures.
  • Coded all initial evaluations with ICD-9 codes for billing and authorization purposes.
  • Stay continually updated on CPT codes, ICD-9 codes and HCPCS coding.
  • Maintain up to date knowledge of CPT-4 and ICD-9 coding.
  • Provided appropriate ICD-9/CPT-4 codes for billing of claims.
  • Certified CPT/ICD-9 medical coder (Ophthalmology).
  • Provided CPT/ICD-9 codes and chart notes.
  • Experience in CPT, ICD-9 and HCPCS coding, and DME.
  • Worked with ICD-9 now ICD-10, CPT codes and referrals.
  • Worked with ICD-9 and ICD-10 codes.
  • Correct billing CPT/HCPS and ICD-9 codes.
  • Trained employees in ICD-9 and CPT-4 coding and certified faculty physicians Analyzed and certified findings of reimbursement issues.
  • Claim submission, hardcopy and electronic Patient demographics ICD-9-CM Coding Follow-up for correct reimbursement from Insurance Companies

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49. Bank Deposits
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low Demand
Here's how Bank Deposits is used in Insurance Specialist jobs:
  • Prepared daily bank deposits involving arithmetic computations.
  • Maintained all statements, made past due calls and correspondence with patients, collection practices, payment posting and bank deposits.
  • Post insurance payments, balance day & pay and create daily bank deposits.
  • Process insurance and personal payments, billed patients/ insurance and making daily bank deposits
  • Completed administrative functions including bank deposits, revenue posting, and invoice processing.
  • Prepared production reports, proposals, invoices, and bank deposits.
  • Maintained cash drawer, bank deposits and reconciliations with accuracy.
  • Prepared deposit slips and made daily bank deposits.
  • Posted insurance vouchers and made bank deposits.
  • Make bank deposits and receipts of money.
  • Make daily bank deposits of days profits.
  • Answered policy questions, explained coverage, advised on claims procedures, input claims.Balanced payment accounts, made bank deposits.
  • Mail, payments, and bank deposits Skills Used Customer Service, Phones, computer, data entry.
  • Post insurance and personal payments Insurance appeals Prepare bank deposits Resolve patient billing inquiries

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50. Outstanding Claims
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low Demand
Here's how Outstanding Claims is used in Insurance Specialist jobs:
  • Documented clear and concise narrative in practice management system of steps taken to facilitate resolution of outstanding claims/issues.
  • Review and completed billing reports for overview of outstanding claims for both current and over 30 days for reconciliation.
  • Conducted timely and accurate work efficiently with the goal of resolving outstanding claims quickly and maximizing appropriate revenue.
  • Follow up with insurance companies on outstanding claims to ensure a speedy and satisfactory conclusion for our patients.
  • Communicated directly with payers to follow-up on outstanding claims, resolve payment variances, and achieve timely reimbursement.
  • Completed follow-up on outstanding claims from all payer types including, commercial, government or workers compensation.
  • Process incoming correspondence daily by means of following up on requests for expedition of outstanding claims.
  • Performed insurance verification of claims, filing, appeals, and collections of all outstanding claims.
  • Provided billing follow up for multiple clients for outstanding claims for all insurances.
  • Aged Trial Balance report on outstanding claims was done on a monthly basis.
  • Follow up with insurance carrier on status of outstanding claims.
  • Followed up with insurance companies regarding denied and/or outstanding claims.
  • Prepared reports for all outstanding claims.
  • Check status on outstanding claims.
  • Checked status of outstanding claims.
  • Followed up outstanding claims, 30, 60,90 days, denials, etc.
  • Process ageing report for any outstanding claims and initiate necessary action to assure collections are within required guidelines.
  • Validated payments made per contract and all units billed were considered Monitored outstanding claims and appealed as necessary.
  • Work outstanding claims and A.R etc.
  • Verify insurance Schedule patients when needed Call various carriers regarding outstanding claims File Medicaid claims

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Insurance Specialist Jobs

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20 Most Common Skills For An Insurance Specialist

Insurance Companies

47.3%

Customer Service

9.7%

Medicaid

4.5%

Data Entry

3.9%

Insurance Policies

3.8%

Medical Records

3.4%

Phone Calls

3.1%

Patient Care

3.0%

CPT

2.6%

Patient Accounts

2.4%

Life Insurance

2.4%

EOB

2.2%

Medical Billing

1.8%

Accounts Receivables

1.6%

Health Care

1.5%

Payment Arrangements

1.4%

Billing Questions

1.4%

Scheduling Appointments

1.3%

Front Desk

1.3%

Insurance Products

1.2%
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Typical Skill-Sets Required For An Insurance Specialist

Rank Skill
1 Insurance Companies 38.9%
2 Customer Service 8.0%
3 Medicaid 3.7%
4 Data Entry 3.2%
5 Insurance Policies 3.1%
6 Medical Records 2.8%
7 Phone Calls 2.6%
8 Patient Care 2.5%
9 CPT 2.2%
10 Patient Accounts 2.0%
11 Life Insurance 2.0%
12 EOB 1.8%
13 Medical Billing 1.5%
14 Accounts Receivables 1.3%
15 Health Care 1.2%
16 Payment Arrangements 1.2%
17 Billing Questions 1.1%
18 Scheduling Appointments 1.1%
19 Front Desk 1.1%
20 Insurance Products 1.0%
21 Hipaa 0.9%
22 Outbound Calls 0.9%
23 FHA 0.9%
24 Insurance Agents 0.9%
25 Insurance Plans 0.8%
26 New Clients 0.8%
27 Unpaid Claims 0.8%
28 Special Projects 0.8%
29 Hippa 0.8%
30 High Volume 0.7%
31 HMO 0.7%
32 Patient Demographics 0.7%
33 Policy Changes 0.6%
34 Patient Payments 0.6%
35 Providers 0.5%
36 Computer System 0.5%
37 Insurance Programs 0.5%
38 Party Payers 0.5%
39 Delinquent Accounts 0.5%
40 Medical Necessity 0.5%
41 EMR 0.4%
42 Insurance Issues 0.4%
43 Telephone Calls 0.4%
44 Additional Information 0.4%
45 Insurance Authorizations 0.4%
46 Monthly Reports 0.4%
47 Bcbs 0.4%
48 Icd-9 0.4%
49 Bank Deposits 0.4%
50 Outstanding Claims 0.4%
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10,876 Insurance Specialist Jobs

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