Job description

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 medical insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.

• Review patient deductibles and/or copays and enter them into the billing system.

• Coordinate with scheduling regarding scheduling errors.

• Assists front desk staff in understanding carrier websites and verification of eligibility.

• 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 Front Desk staff to ensure clean billing.

• Performs other 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 for key areas to improve accuracy and understanding of the insurance processes.

QUALIFICATIONS & SKILLS:

• Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.

• 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.

• Ability to work independently on assigned tasks, as well as to accept direction on given assignments.

• Deals with confidential information and/or issues using discretion and judgment.

PREFERRED EXPERIENCE:

• Prior Insurance Verification experience in a medical office.

• Customer service.

SUPERVISION EXERCISED:

• This position has no supervisory responsibilities.

WORK ENVIROMENT & PHYSICAL DEMANDS:

• Work is performed in an office setting.

• Physical demands of position: sitting, standing, walking, typing, phone communication, face to face conversation.

Job Type: Full-time

Pay: From $15.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Customer Service: 1 year (Preferred)

Work Location: One location

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