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Medical service representative skills for your resume and career

Updated January 8, 2025

4 min read

Below we've compiled a list of the most critical medical service representative skills. We ranked the top skills for medical service representatives based on the percentage of resumes they appeared on. For example, 28.0% of medical service representative resumes contained patients as a skill. Continue reading to find out what skills a medical service representative needs to be successful in the workplace.

15 medical service representative skills for your resume and career

1. Patients

Here's how medical service representatives use patients:

Established relationships with patients and family members while presenting surgical processes and procedures to patients requiring specialized laser spine treatments.
Educated patients and family on the eligibility requirements, application process, and verification requirements for applicable programs.

2. Insurance Eligibility

Here's how medical service representatives use insurance eligibility:

Analyzed insurance eligibility Registered and scheduled patients Performed secretarial duties
Perform insurance eligibility verification including obtaining current benefits.

3. HIPAA

Here's how medical service representatives use hipaa:

Followed strict medical guidelines and HIPAA patient confidentiality regulations.
Ensured HIPAA, JCAHO compliance on site as Project Manager with the facilities' Decision Support and integrated management departments.

4. Medicaid

Here's how medical service representatives use medicaid:

Worked with Medicare, Medicaid and commercial insurances to verify insurance information for accuracy and completeness and resolved discrepancies as needed.
Provide assistance to patients by applying for Medicaid programs, Social Security Disability, Medicare savings programs and drug replacement applications.

5. Medical Terminology

Here's how medical service representatives use medical terminology:

Demonstrate advanced understanding of medical terminology and coding in the assisting of callers.
Entered data for Worker's Compensation medical services Answered high-level customer service calls Took Medical Terminology and CPT4 Codes classes

6. Patient Care

Patient care entails the diagnosis, recovery, and control of sickness as well as the maintenance of physical and emotional well-being through the use of healthcare providers' services. Patient care is described as services provided to patients by health practitioners or non-professionals under guidance.

Here's how medical service representatives use patient care:

Trained to communicate precise and applicable information with patient care providers to assist effective and proficient patient care.
Assisted physicians when needed Performed a wide variety of clerical functions relating to radiographic reporting and patient care Performed and processed x-rays

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7. 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 medical service representatives use data entry:

Processed medical procedures and diagnosis coding, prior authorization requests, data entry, eligibility verification, correspondence, and research.
Completed and coordinated the Independent Medical Exam process of data entry, scheduling appointments while coordinating communications via Attorneys and Claimants.

8. Insurance Verification

Here's how medical service representatives use insurance verification:

Work the insurance verification Tickler Queues when assigned.
Process insurance verification and ICD-9 codes.

9. Home Health

Here's how medical service representatives use home health:

Executed a day-to-week-to-month marketing agenda to call on referral sources to promote home health agency
Reviewed home health referrals for appropriate physician orders and documentation needed for insurance purposes.

10. Epic

Epic is a private healthcare company which developed and continues to provide a software intended for healthcare professionals and the organization and management of medical records. It is by far one of the largest in its field, with over 50% of patients having a medical record present in their system. Patients, as well as clinics and various medical professionals and facilities are all able to use this system to keep medical history and information safe and easy to reach, alter, and share with the necessary people.

Here's how medical service representatives use epic:

Coordinated all schedules in Outlook with Epic EMR for all the Ma's, Physicians and Clinic Manager.
Scheduled patent appointments in Epic EMR software.

11. Durable Medical Equipment

Here's how medical service representatives use durable medical equipment:

Processed orders for Durable Medical Equipment to Patients Homes, Hospital and/or Skilled Nursing Facility * Verified Eligibility and benefits
Consult with insurance companies to verify member's eligibility, benefits and authorizations for durable medical equipment.

12. Outbound Calls

An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.

Here's how medical service representatives use outbound calls:

Make outbound calls to providers and member to advise of prior authorization decisions.
Place outbound calls to members to promote product/service campaigns and/or to educate members on current/upcoming initiatives.

13. Medical Services

Here's how medical service representatives use medical services:

Assisted Medical Services Manager in the development of new liaison strategies aimed at referring physicians.
Provided guidance and assistance on inquires made by a medical service representatives.

14. Inbound Calls

Here's how medical service representatives use inbound calls:

Reviewed and analyzed credit application generated by inbound calls by existing or potential credit card account holders.
Answer inbound calls from customers and accurately enter order information in computer system.

15. Insurance Coverage

Here's how medical service representatives use insurance coverage:

Execute administrative admitting activities including explaining patient rights, securing medical releases, and verifying insurance coverage for specific procedures.
Worked closely with customers, co-workers, and other internal department in order to resolve patient eligibility and insurance coverage.

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List of medical service representative skills to add to your resume

The most important skills for a medical service representative resume and required skills for a medical service representative to have include:

Patients
Insurance Eligibility
HIPAA
Medicaid
Medical Terminology
Patient Care
Data Entry
Insurance Verification
Home Health
Epic
Durable Medical Equipment
Outbound Calls
Medical Services
Inbound Calls
Insurance Coverage
Patient Demographics

Customer Service Functions
CPT
MSR
CMS
Schedule Appointments
Health Services
ICD-9
Medical Bills
Customer Issues
Patient Appointments
HMO
Computer Software
Vital Signs
Primary Care
Customer Inquiries
Medical Claims

Hippa
Quality Standards
Telephone Inquiries
Physician Referrals
Medical Procedures
MRI
Internal Medicine
Patient Charts
Diagnosis Codes
State Guidelines
Computer System
Insurance Claims
Bill Review
Processing Procedures

Updated January 8, 2025

Zippia Team

Editorial Staff

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

Updated January 8, 2025

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