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Verification specialist skills for your resume and career

Updated January 8, 2025
3 min read
Quoted expert
Elisha Blankson
Verification specialist example skills
Below we've compiled a list of the most critical verification specialist skills. We ranked the top skills for verification specialists based on the percentage of resumes they appeared on. For example, 22.8% of verification specialist resumes contained customer service as a skill. Continue reading to find out what skills a verification specialist needs to be successful in the workplace.

15 verification specialist skills for your resume and career

1. 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 verification specialists use customer service:
  • Verify income of independent and dependent student in comparison with filing status and accuracy * Strong Data entry and exceptional customer service
  • Advanced customer service skills providing support between medical providers/patients to insurance companies on behalf of a pharmaceutical company.

2. Patients

Here's how verification specialists use patients:
  • Performed a thorough benefit verification to ensure comprehensive verification for patients regarding coverage requirements and payment levels for the proper therapy.
  • Verified eligibility of patients and participating status of providers Ensured consistent adherence to company policies, procedures and performance standards.

3. 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 verification specialists use data entry:
  • Performed alphanumeric data entry and Internet research in order to accurately verify client contact info.
  • Provided administrative office duties and data entry as required for the verification and execution department.

4. Insurance Verification

Here's how verification specialists use insurance verification:
  • Provided professional, accurate, timely insurance verification and notification for outpatient diagnostic services, observation and inpatient services.
  • Completed accurate and timely insurance verification to ensure appropriate forms are documented before procedure is performed.

5. Medicaid

Here's how verification specialists use medicaid:
  • Verified primary insurance eligibility by phone with agents or online regarding Medicaid recipients and to determine payment responsibilities to providers.
  • Follow Medicare/Medicaid guidelines as a 3rd party vendor while verifying insurance for Private, Medicare and Medicaid Insurance Providers.

6. Verification Process

Verification process is a procedure that intends to check whether a concerned product, system, or service meets specified criteria and achieves the purpose. Verification is usually an internal process that has two phases, development and post-development phase.

Here's how verification specialists use verification process:
  • Maintain database of college and university institution information ensuring that accurate information is present at all times for the verification process.
  • Call Center: advised callers on how to complete dependent eligibility verification process for dependents covered under their insurance policy.

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7. Medical Terminology

Here's how verification specialists use medical terminology:
  • Maintain current knowledge and understanding of government rules, regulations, CPT, ICD-9 codes and medical terminology.
  • Be familiar with medical terminology, diagnosis codes, and insurance process.

8. Health Insurance

Here's how verification specialists use health insurance:
  • Received inbound calls from providers and members to verify health insurance benefits and eligibility, including provider contracts.
  • Verified health insurance information that will qualify customers for diabetic supplies and medical equipment.

9. Background Checks

Here's how verification specialists use background checks:
  • Conducted database searches on all incoming Trainees such queries included criminal background checks, National Practitioner Data Bank and Medicare/Medicaid.
  • Performed investigative background checks for various companies requesting verification of information contained on prospective employees' resumes and job applications.

10. Authorization Process

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

Here's how verification specialists use authorization process:
  • Facilitate the prior authorization process when required.
  • Initiated and documented prior authorization process.

11. HIPAA

Here's how verification specialists use hipaa:
  • Handled private personal information in accordance with HIPAA regulations.
  • Ensured all processes met HIPAA and other Government security requirements with regards to sharing/storage of Protected Health Information (PHI).

12. Quality Standards

Quality standards are a specific level of standards of products that are set by the companies for the customers that have to be met and maintained throughout the process until the time of delivery. Quality standards are information that includes the customer's requirements, guidelines, and characteristics for the needed final product or service.

Here's how verification specialists use quality standards:
  • Reviewed loan attributes and documentation for accuracy, while achieving monthly production goals and maintaining quality standards.
  • Maintain action item(s) production count with a measurable production and quality standards at or above minimum established standards.

13. Computer System

Here's how verification specialists use computer system:
  • Entered all pertinent information in computer system including policy holder information, authorizations and expiration dates.
  • Answered basic questions about medical coverage and plans and entered call information into computer system.

14. Cost Share

Here's how verification specialists use cost share:
  • Obligated to send a summary of benefits to the patient's doctor to explain the cost share and coverage details.
  • Answer any question the customers may have regarding their cost share or any other information relate to their medicare plan.

15. Insurance Eligibility

Here's how verification specialists use insurance eligibility:
  • Verify patient's insurance eligibility and obtaining proper authorization for their specific diagnostic exams.
  • Verified insurance eligibility by calling insurance companies and via web.
top-skills

What skills help Verification Specialists find jobs?

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What type of skills will young verification specialists need?

Elisha BlanksonElisha Blankson LinkedIn profile

Program Director NCCU, Assistant Professor, North Carolina Central University

Graduates will need a skill set about the field in which they received training and additional skills useful to the job market. For example, with the changing demographics in the United States, extra skills in information technology and foreign languages will be a plus when entering the job market.
Do you want to know more?
Read more about what experts have to say about verification specialist

List of verification specialist skills to add to your resume

Verification specialist skills

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

  • Customer Service
  • Patients
  • Data Entry
  • Insurance Verification
  • Medicaid
  • Verification Process
  • Medical Terminology
  • Health Insurance
  • Background Checks
  • Authorization Process
  • HIPAA
  • Quality Standards
  • Computer System
  • Cost Share
  • Insurance Eligibility
  • Patient Benefits
  • Hippa
  • Insurance Carriers
  • Quality Review
  • CPT
  • Inbound Calls
  • Outbound Calls
  • Customer Inquiries
  • Loan Applications
  • ICD-10
  • Medical Insurance Benefits
  • Patient Insurance Coverage
  • HCPCS
  • ICD-9
  • Employment History
  • Professional References
  • Electronic Claims
  • Safety Rules
  • IRS
  • Customer Accounts
  • Employment Verifications
  • Benefits Process
  • Professional Licenses
  • Previous Employment
  • NPI
  • Insurance Administrators
  • Reimbursement Trends
  • Pharmacy Benefits

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

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

Updated January 8, 2025

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