Job Description
Insurance Verification Specialist - On Site
Job Title: Insurance Verification Specialist
Department: Billing
Immediate Supervisor Title: Billing Supervisor
General Summary: Review each day’s schedule and verify insurance, updating patient and insurance demographics, and ensuring any necessary referrals are in place while following healthcare regulations.
Essential Job Responsibilities:
- Review current day’s schedule to ensure there are no add ons or any unresolved eligibility issues.
- The eligibility goal is to stay five days ahead of the current business day
- Update or correct any insurances that run inactive or unverifiable in the system.
- Update or correct patient demographics when needed.
- Verify all Tricare Prime and UHC Medicare Dual Complete HMO plans have active referral on file.
- Complete any internal tasks, emails, and voicemails in a timely manner.
- Contact insurance companies, via phone or portal, for network participation and/or patient specific benefits
- Utilize our patient communication texting service, Klara, as needed
- Maintain HIPAA compliance and confidentiality standards
- Ensure office policies and procedures are followed
- Maintain good communication with patients, coworkers, and supervisors
Education: High School Diploma
Experience: Experience in multi-provider or specialty practice is preferred
Performance Requirements:
Knowledge:
- Knowledge of medical terminology and insurance processes
- Experience with Electronic Health Records (EHR) systems
Skills:
- Written and verbal communication skills.
- Customer service excellence
- Basic computer skills.
- Organizational skills
Abilities:
- Ability to maintain confidentiality
- Problem solving abilities
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
Work Environment: Position is in a well-lit office environment.
Mental/Physical Requirements: Involves sitting approximately 90 percent of the day, walking or standing the remainder.