Insurance Verification Specialist

Insurance & Referral Specialist

Job Description

The Insurance & Referral Specialist is responsible for verification of insurance coverage and updating the patients’ insurance portfolio in the electronic record keeping system. Some duties for this position include:

• Utilizes Insurance Verification websites to check for current insurance coverage for patients and update in the EHR as needed.
• Work in collaboration with other members of the health care team in order to ensure patients receive timely care and clean billing.
• Obtain proper prior authorization when needed.
• Verify eligibility to include identifying primary and secondary insurance, obtained claim numbers as necessary.
• Provide updated information to other staff in a timely manner.
• Coordinate with front end regarding scheduling errors.
• Performs miscellaneous job-related duties as assigned.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Review patient deductibles and/or copays and enter into the billing system notify front desk of the weekly deductibles to be collected for each pt.
• Extension of the front desk and surgery scheduler - coverage for call-ins, vacations, sick days.
• Manage referrals including prior authorizations, medical records, and other communication. In addition, this role ensures that diagnostic is scheduled and completed.
• Check future appts. to make sure documentation, prior authorizations, records, x-rays are here – follow up with pt. as needed.
• Responsible for fax inbox and mail.

Qualifications

• High School diploma or GED required
• 1-2+ years of medical office experience
• Exceptionally quick learner with a desire to learn and grow
• Organized and analytical with high attention to detail
• Proficient technology, computer, and typing skills
• Strong time-management and prioritization skills
• Goes the extra mile to ensure client satisfaction and team success
• Friendly and professional communication skills (phone, email, interpersonal)

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Disability insurance
• Health insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: In person