Insurance Verification Specialist

JOB TITLE: Insurance Verification Specialist

GENERAL SUMMARY OF DUTIES:

Ensures all records are maintained in absolute integrity and in compliance with applicable regulations and requirements. Responsible for obtaining required referrals and authorizations and verifying patient insurance benefits.

REQUIREMENTS:

• 1-2 years experience in healthcare insurance billing, verification, collections and/or authorizations.
• Knowledge of computer systems, programs and spreadsheet applications.
• Knowledge of medical terminology.

ABILITIES/SKILLS:

• Ability to work effectively with customers, medical staff and external agencies.
• Ability to identify, analyze and solve claim problems.
• Skilled in gathering and reporting claim information.
• Skilled in solving utilization problems.
• Skilled in written and verbal communication and customer relations.