Medical Insurance Specialist Resume

An organized and properly drafted resume enhances the prospect of getting interview call. This medical insurance specialist resume communicates all vital information in a clear and precise way. This resume gives a clear picture of the relevant skills, qualifications and job responsibilities. Hope this resume will help to improve the overall presentation of your resume and give the perfect impression to your prospective employer.

A medical insurance specialist works in health care centre like hospitals, nursing homes and medical offices. Some of the typical responsibilities of a medical insurance specialist include completing insurance claim forms, reviewing payment records and editing insurance claim forms. In short, a medical insurance specialist handles all medical insurance issues in a health care organization.

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Sample Medical Insurance Specialist Resume

Annie Smith

69 N. Grant Street, Mid Lake City, California 84301

Cell: 988- 598-1331


Career profile:

To obtain the position of a medical insurance specialist and make effective contribution of my skills and experience in a fast growing health care organization.

Core Competencies:

  • Comprehensive knowledge of the methods and procedures of medical coding and billing
  • Extensive knowledge of processing and solving medical insurance claims
  • Familiar with medical terminology and interpret complex medical data
  • Excellent knowledge of human anatomy and physiology
  • Skilled in communicating effectively, both in oral and written
  • Ability to operate major computer applications like Microsoft Word Processor, Excel and Internet Explorer
  • Detail oriented with ability to handle multiple tasks

Professional Experience:

Star Med Health Care, California

June 2005 till date

Medical Insurance Specialist

  • Reviewed health-related claims to determine necessary procedures before payment to the client
  • Assigned the tasks of preparing and reviewing records of patients by using medical coding procedures
  • Performed responsibilities of examining medical claims and verify insurance eligibility
  • Handled tasks of recording medical charges, medical payments or other adjustments
  • Identified coding errors and make necessary changes, as required
  • Processed medical claims and update internal database in the computer

Health Care Management Inc, California

April 2001 to May 2004

Medical Insurance Specialist

  • Responsible for handling various insurance verification and authorization management functions
  • Perform the tasks of collecting co-payment, co-insurance, deductible and prior balance amounts from patients
  • Handle responsibilities of coordinating budget plans and pre-payment arrangements
  • Play the role of an insurance subject matter expert within the patient care services
  • Responsible for entering accurate insurance payments and charges
  • Handle and resolve patients phone calls concerning insurance claims and issues
  • Perform the tasks of recruiting, training and supervising medical insurance staff


Certified Medical Coder, California

Educational Summary:

Achieved bachelor’s degree in Accounting

Daffodils Commerce College, California in the year 1997

Personal Information:

Name: Annie Smith

Date of Birth: 23.05.1974

Employment Status: Full time

Relationship status: Married


Will be furnished upon request

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