Medical Insurance Verification Specialist

POSITION SUMMARY:

The INSURANCE VERIFICATION SPECIALIST performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with others in a team environment.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Maintains patient demographic information and data collection systems.
• Verify insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
• Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the front end department at all locations.
• Coordinate with front end regarding scheduling errors.
• Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
• Enter insurance referrals as needed.
• Participates in development of organization procedures and update of forms and manuals.
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned. • Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

QUALIFICATIONS & SKILLS:

• Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.
• Basic Life Support Certification required.
• Strong knowledge of administrative and clerical procedures.
• Proficient in computers and relevant software applications and practice management technology.
• Possession of strong problem solving skills and sound judgment.
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
• Knowledge of customer service principles and practices.
• Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
• Ability to be proactive and take initiative.
• Exhibit high level of quality through attention to detail and monitoring of work.
• Possession of strong organizational skills.
• Excellent verbal and written communication, as well as exceptional interpersonal communication skills.

PREFERRED EXPERIENCE:

• • Prior Insurance Verification experience in a medical office.
• • Customer service.

Job Type: Full-time

Pay: $18.00 - $25.00 per hour

Expected hours: 30 – 40 per week

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekends as needed

Experience:

• Medical billing: 1 year (Preferred)
• Insurance verification: 2 years (Preferred)

Work Location: In person