Insurance Verification Specialist - Medical

Insurance Verification/Referral Specialist - Medical We Are Seeking a dependable and responsible individual who prioritizes communication and organization to ensure a smooth patient experience and accurate billing for services rendered. Must have an energetic, team player attitude with a focus on excellent customer service! The ideal candidate will be committed to providing an exceptional experience for our patients and referring physician offices and be highly experienced in verification of benefits and referral coordination. Pay Rate: • Negotiable; dependent on experience and performance! Benefits: • Employer-paid Medical, Dental, Vision, LTD and Group Life for employee only. Additional benefit packages and family coverage available as well • PTO and Company Paid Holidays • Uniforms Responsibilities: Responsibilities and Duties: • Verifying insurance coverage of each patient • Documentation of patient's co-payment to be obtained at check-in • Obtaining referrals for patients required based on patient's insurance plan (Tricare/HMO/Workman Comp) • Explaining coverages to patients when necessary • Updating patient demographics and insurance packages accurately in EHR • Entering obtained referrals and authorization accurately in EHR • Answer and route phone calls in a professional manner; provide answers when possible and personalize call contents to patient • Communicate with patient’s insurance company if needed • Document all communication and correspondence appropriately in EHR • Maintain an accurate patient tracker to ensure all patient insurance has been verified prior to initial visit and all referrals have been obtained • Continuous follow-up with PCP offices regarding referral requests • Cross-cover teammates at the front desk when they are out to include checking patients in and out of clinic and initiating any required forms or paperwork to be completed on iPad. Schedule new patients/existing patients and/or work with patients to reschedule existing appointments to better suit the patient or clinicians' needs • Performs other tasks and related work as required Qualifications: • High School Diploma/GED • 2 years of customer service required, hospital or outpatient clinical office preferred • 2 years of Insurance Verification and authorizations experience preferred • Strong knowledge of patient medical insurance policies and procedures • Prior work experience with EHRs and Insurance Verification portals is required • Primary care, pain management and/or surgery scheduling experience preferred Compensation: $16 - $18 hourly

• Responsibilities and Duties:• Verifying insurance coverage of each patient• Documentation of patient's co-payment to be obtained at check-in• Obtaining referrals for patients required based on patient's insurance plan (Tricare/HMO/Workman Comp)• Explaining coverages to patients when necessary• Updating patient demographics and insurance packages accurately in EHR• Entering obtained referrals and authorization accurately in EHR• Answer and route phone calls in a professional manner; provide answers when possible and personalize call contents to patient• Communicate with patient’s insurance company if needed• Document all communication and correspondence appropriately in EHR• Maintain an accurate patient tracker to ensure all patient insurance has been verified prior to initial visit and all referrals have been obtained• Continuous follow-up with PCP offices regarding referral requests• Cross-cover teammates at the front desk when they are out to include checking patients in and out of clinic and initiating any required forms or paperwork to be completed on iPad. Schedule new patients/existing patients and/or work with patients to reschedule existing appointments to better suit the patient or clinicians' needs• Performs other tasks and related work as required