Post job

Explore jobs

Find specific jobs

Explore careers

Explore professions

Best companies

Explore companies

OverviewJobsSalaryResume

Skills

What They DoEducationCertificationsDemographicsJob DescriptionHow To HireBest CompaniesBest StatesBest CitiesRemote JobsJob OutlookComparePart Time jobsEntry Level jobsFull Time jobsWork From Home jobs
zippia ai icon

Automatically apply for jobs with Zippia

Upload your resume to get started.

Insurance verification specialist skills for your resume and career

Updated January 8, 2025
4 min read
Quoted experts
Li Zhang Ph.D.,
Li Zhang Ph.D.
Insurance verification specialist example skills
Below we've compiled a list of the most critical insurance verification specialist skills. We ranked the top skills for insurance verification specialists based on the percentage of resumes they appeared on. For example, 25.1% of insurance verification specialist resumes contained patients as a skill. Continue reading to find out what skills an insurance verification specialist needs to be successful in the workplace.

15 insurance verification specialist skills for your resume and career

1. Patients

Here's how insurance verification specialists use patients:
  • Verify patients' medical insurance for upcoming medical appointments by using internet websites or contacting insurance companies by phone.
  • Verified insurance benefits on all new and established patients to determine coverage for Radiation Oncology and other services.

2. Insurance Verification

Here's how insurance verification specialists use insurance verification:
  • Worked as Outpatient Insurance Verification specialist responsible for insurance verification on all outpatient services scheduled at Mary Washington and Stafford Hospital.
  • Promoted to Insurance verification specialist in our billing office where I verified patient benefits for upcoming appointments and procedures.

3. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how insurance verification specialists use customer service:
  • Provided the highest quality customer service internally and externally to customers by maintaining proper standards for provider and customer interactions.
  • Provide customer service to insurance companies over the phone and accurately verifying medical insurance information via rep or online resources.

4. Insurance Eligibility

Here's how insurance verification specialists use insurance eligibility:
  • Position included verifying insurance eligibility and coverage with insurance companies and coordinating with scheduling and insurance billing departments.
  • Reviewed all insurance eligibility responses and communicated with the insurance companies regarding responses to obtain accuracy of information.

5. Data Entry

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

Here's how insurance verification specialists use data entry:
  • Verified insurance coverage for durable medical equipment Data entry Maintained timely communication with 15 designated representatives via email and phone.
  • Entered data entry referrals for non-complex services including inpatient and outpatient care.

6. Medical Terminology

Here's how insurance verification specialists use medical terminology:
  • Advanced understanding and extensive knowledge of medical terminology and insurance billing requirements.
  • Frequent use of medical terminology.

Choose from 10+ customizable insurance verification specialist resume templates

Build a professional insurance verification specialist resume in minutes. Our AI resume writing assistant will guide you through every step of the process, and you can choose from 10+ resume templates to create your insurance verification specialist resume.

7. Health Insurance

Here's how insurance verification specialists use health insurance:
  • Obtain patient referrals and authorizations by submitting medical records to health insurances.
  • Registered patients, verified referrals, and entered health insurance information

8. Medicaid

Here's how insurance verification specialists use medicaid:
  • Verified Insurance information for patients from various insurance companies including but not limited to Medicaid and Medicare.
  • Directed credentialing process for physicians with Medicare and Medicaid in New Jersey and Pennsylvania.

9. Phone Calls

Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.

Here's how insurance verification specialists use phone calls:
  • Make phone calls to insurance companies on verification of benefits and eligibility.
  • Monitor verification representative's phone calls and provide feedback.

10. Patient Insurance Coverage

Here's how insurance verification specialists use patient insurance coverage:
  • Retrieve, analyze and apply patient insurance coverage from all major insurance providers and government providers accurately.
  • Confirmed patient insurance coverage via extensive daily contact with insurance carriers, ambulatory staff and physician offices.

11. Patient Accounts

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

Here's how insurance verification specialists use patient accounts:
  • Maintained and scheduled all appointments for four ophthalmologists Verified all insurance Assisted with patient accounts and collections
  • Secure appropriate patient account reimbursement by obtaining complex demographic, insurance, and medical information.

12. Medical Procedures

Here's how insurance verification specialists use medical procedures:
  • Called insurance companies regularly to obtain prior authorization for DME, medical procedures, and surgeries.
  • Obtain the necessary authorizations and compliance for the patients' medical procedures.

13. Home Health

Here's how insurance verification specialists use home health:
  • Verified patients insurance liability for home health services
  • Obtained authorization for medication and home health visits

14. Insurance Carriers

Here's how insurance verification specialists use insurance carriers:
  • Obtained authorization from insurance carriers for all urgent hospital admissions and planned surgeries.
  • Verify infertility benefits for patients who have coverage with participating insurance carriers.

15. CPT

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

Here's how insurance verification specialists use cpt:
  • Charge Entry-updated valid CPT codes-corrected claims-added modifiers where needed
  • Utilized ICD-9 and CPT codes as well as patient clinical information in order to obtain expedited and accurate billing.
top-skills

What skills help Insurance Verification Specialists find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What skills stand out on insurance verification specialist resumes?

Li Zhang Ph.D.

Professor, St. Cloud State University

There aren't many universities/colleges that offer a degree in insurance. Having some insurance education, such as a degree, or a certificate, or just taking a few insurance classes, will be sure to make applicants stand out. For those with no insurance background, demonstrating strong transferable skills from previously studied areas to the insurance industry (such as communication skills, analytical skills), strong commitment, ethical and professional attitude will make the applicants very competitive.

What soft skills should all insurance verification specialists possess?

Li Zhang Ph.D.

Professor, St. Cloud State University

I'd say communication skills. Many positions in insurance need to interact with others. The ability to listen carefully and responding effectively, conveying thoughts/ideas fluently is very important. Also, communicating throng writing is also important (it could range from simply completing the paperwork accurately to preparing annual reports for supervisors)

What hard/technical skills are most important for insurance verification specialists?

Li Zhang Ph.D.

Professor, St. Cloud State University

It would be analytical skills and numerical skills, no matter if it's in underwriting, claims, actuarial, investment, sales, or other positions. For example, a successful salesperson should be able to efficiently analyze the client's information, assess the client's need, recommend the appropriate products, and convey product advantages and disadvantages clearly. Also, competent employees should be comfortable with working with numbers/graphs to communicate with clients or coworkers.
Do you want to know more?
Read more about what experts have to say about insurance verification specialist

List of insurance verification specialist skills to add to your resume

Insurance verification specialist skills

The most important skills for an insurance verification specialist resume and required skills for an insurance verification specialist to have include:

  • Patients
  • Insurance Verification
  • Customer Service
  • Insurance Eligibility
  • Data Entry
  • Medical Terminology
  • Health Insurance
  • Medicaid
  • Phone Calls
  • Patient Insurance Coverage
  • Patient Accounts
  • Medical Procedures
  • Home Health
  • Insurance Carriers
  • CPT
  • Authorization Process
  • Medical Billing
  • Outbound Calls
  • Patient Demographics
  • HIPAA
  • Front Desk
  • Patient Eligibility
  • Inbound Calls
  • EMR
  • Computer System
  • Patient Benefits
  • ICD-10
  • Hippa
  • Medical Necessity
  • Private Insurance
  • Insurance Authorizations
  • Diagnosis Codes
  • Schedule Appointments
  • ICD-9
  • Physical Therapy
  • Primary Care
  • Patient Appointments
  • MRI
  • HMO
  • Payment Arrangements
  • Insurance Claims
  • Durable Medical Equipment
  • PCP
  • Insurance Policies
  • Surgical Procedures
  • Outpatient Services
  • Billing System
  • Patient Charts
  • Medical Claims
  • EOB

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

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

Updated January 8, 2025

Browse sales jobs