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Insurance Specialist – Clinical Trials
City of Hope. Verify insurance policy benefits for clinical trial patients through telephone, mail/facsimile, and online inquiries .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in verifying insurance policy benefits and obtaining authorizations in a healthcare setting, while maintaining effective communication and customer service skills to support clinical trial patients.
Highest-signal resume keywords
Insurance Policy VerificationAuthorization ManagementBilling Grid ReviewCustomer ServiceHealthcare Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Benefit VerificationAuthorization RequestBilling Grid AnalysisClinical Trial Coverage AnalysisData EntryMedical Record Updating
Soft Skills
Excellent CommunicationPolite and Friendly DemeanorPatience Under Pressure
Certifications & Qualifications
High School Diploma
Industry Keywords
Clinical TrialsHealthcareInsurancePre-CertificationPatient Liaison
About the role
Key responsibilities & impact- Verify insurance policy benefits for clinical trial patients through telephone, mail/facsimile, and online inquiries
- Review billing grids/budgets and compile standard-of-care procedures associated with research
- Enter policy benefit information and update insurance records in the system
- Review upcoming services to determine authorization requirements and update medical records
- Request authorization extensions or new authorizations for continuity of care and coverage changes
- Provide customer service and serve as a liaison between patients and support staff
- Develop effective relationships with colleagues, physicians, providers, leaders, and other employees
Requirements
What you’ll need- High School Diploma
- 2 years of related experience
- 1+ years of healthcare experience working with insurance/authorizations
- Experience verifying insurance policy benefits
- Experience obtaining authorizations/pre-certifications
- Ability to review billing grids/budgets and clinical trial coverage analyses
- Ability to enter and update insurance and authorization information in systems
- Excellent communication and customer service skills
- Ability to remain polite, friendly, patient, and calm under pressure
Benefits
Comp & perks- Comprehensive benefits (details provided via employer benefits link)
- Equal opportunity employer