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Insurance Verification Specialist
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Insurance Verification Specialist

Job Snapshot

Employment Type Full-Time
Job Type Health Care, Insurance
Education High School
Experience At least 1 year(s)
Manages Others No
Industry Healthcare - Health Services, Insurance
Required Travel Not Specified
Job ID AG-CII-INS

Job Description

Insurance Verification Specialist

Verifies and documents all patients’ third-party payer coverage/non-coverage.

 

a)      Verifies all commercial insurance coverage, workers’ compensation insurance, accident insurance, and state programs and determines patient’s responsibility if applicable

b)      Obtains precertification number from physician’s office if applicable

c)      Determines patient qualification for coverage by third-party payer and informs financial counselor, patient, or family member of status

d)      Maintains current list of center insurance contracts and payment schedules

e)      Documents prequalification for third-party payer before date of scheduled admission

f)       Maintains current information on correct and lawful practices for billing government and private payers for ambulatory surgery care

g)      Follows all federal, state, and regulatory guidelines to maintain compliance

 

Competitive Pay and Benefits

Equal Employment Opportunity Employer
                                              

Job Requirements

 Qualifications

 

1.     Cooperative work attitude toward co-employees, management, patients, visitors, and physicians

2.     Ability to promote favorable center image with physicians, patients, insurance companies, and general public

3.     Ability to make decisions and solve problems

Requirements

Required

1.     High school diploma or GED certificate

2.     Training or courses in business office activities

3.     Good computer and  keyboarding skills

4.     Good communication skills

5.     Strong ethical and moral character references

Preferred

1.     Insurance verification experience
2.     ASC experience


Job quality

requirements

1.     Accuracy

2.     Attention to detail

3.     Timeliness

4.     Organization

5.     Little supervision needed to accomplish task

Dependability

1.     Attendance

2.     Punctuality

3.     Ability to follow instructions

4.     Ability to meet deadlines

Physical/mental requirements

1.     Ability to sit, stand, and walk

2.     Visual and auditory acuity for frequent use of computer and telephone and occasional use of other office equipment

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Insurance Verification Specialist


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