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Insurance Verification Associate Jobs in Louisiana

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Qualifications * High school diploma or equivalent required; associate's or bachelor's degree ... Experience with scheduling, treatment planning, and insurance verification. * Ability to analyze ...

Conduct insurance verification and eligibility check as needed. * Assist with prior authorization ... Associate degree or higher in Healthcare Administration, Medical Billing and Coding, Business ...

Back Office Specialist

Marrero, LA · On-site

$10 - $12/hr

... Insurance Verification: Verify Medicaid eligibility initially and on a monthly basis. * Discharges ... Qualifications * High school diploma or equivalent (Associates Degree Preferred). * Previous ...

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Insurance Verification Associate information

How do you become an insurance verification specialist?

To become an insurance verification specialist, candidates typically need a high school diploma or equivalent and should develop skills in insurance billing, coding, and customer service. Relevant certifications, such as the Certified Insurance Verifier credential, can enhance job prospects, and familiarity with electronic health record systems is often required.

What are the key skills and qualifications needed to thrive as an Insurance Verification Associate, and why are they important?

To thrive as an Insurance Verification Associate, you need strong attention to detail, knowledge of insurance policies and procedures, and typically a high school diploma or equivalent. Familiarity with insurance verification software, electronic health records (EHR) systems, and claims management tools is highly valuable. Excellent communication, problem-solving skills, and the ability to handle confidential information with discretion set top performers apart. These skills ensure accurate processing of patient insurance information, minimize billing errors, and support timely reimbursement for healthcare services.

What is the difference between Insurance Verification Associate vs Medical Billing Specialist?

AspectInsurance Verification AssociateMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefits before servicesProcess and submit medical claims for reimbursement
CredentialsHigh school diploma or equivalent; certifications like Certified Medical Administrative Assistant (CMAA) are commonHigh school diploma; certifications like Certified Professional Biller (CPB) are common
Work EnvironmentHealthcare offices, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Industry UsageUsed across healthcare providers to ensure insurance coverageUsed to handle claims processing and reimbursement

The Insurance Verification Associate focuses on confirming patient insurance details to ensure coverage before treatment, while the Medical Billing Specialist handles the claims process for reimbursement. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ in the patient verification versus billing process.

What is the highest paid position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Financial Officer (CFO) tend to be the highest paid. These positions require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy, underwriting, and financial management.

What does a verification associate do?

An Insurance Verification Associate reviews and confirms patients' insurance coverage and benefits to ensure accurate billing and claims processing. They typically communicate with insurance companies, verify policy details using specialized software, and maintain accurate records to support the healthcare or insurance team. Attention to detail and knowledge of insurance policies are essential for this role.

Is it hard to learn insurance verification?

Insurance Verification Associates typically learn the job through on-the-job training, and the process involves understanding insurance policies, billing procedures, and using verification tools or software. While some familiarity with healthcare or insurance terminology helps, the role generally does not require extensive prior experience and can be learned with practice and training.

What does an Insurance Verification Associate do?

An Insurance Verification Associate is responsible for confirming a patient's insurance coverage and benefits before medical services are provided. Their tasks include contacting insurance companies, verifying policy details, determining coverage limits, and ensuring that procedures are authorized. This role helps prevent billing issues and ensures that patients and providers understand what costs will be covered. Insurance Verification Associates play a crucial part in the healthcare revenue cycle by reducing claim denials and improving the patient experience.

What are some common challenges faced by Insurance Verification Associates, and how can they be overcome?

Insurance Verification Associates often encounter challenges such as navigating complex insurance policies, handling discrepancies in patient information, and managing high call volumes with insurance companies. To overcome these, associates should develop strong attention to detail, effective communication skills, and proficiency with insurance databases and electronic health record systems. Staying organized and keeping up-to-date with insurance policy changes also helps ensure accurate and timely verification, which ultimately supports smooth patient billing and care processes.
What are the most commonly searched types of Insurance Verification jobs in Louisiana? The most popular types of Insurance Verification jobs in Louisiana are:
What are popular job titles related to Insurance Verification Associate jobs in Louisiana? For Insurance Verification Associate jobs in Louisiana, the most frequently searched job titles are:
What cities in Louisiana are hiring for Insurance Verification Associate jobs? Cities in Louisiana with the most Insurance Verification Associate job openings:

Verification Specialist

Phoenix Group Home, LLC

Lafayette, LA • On-site

Full-time

Posted 11 days ago


Job description

RESPONSIBLE TO: Office Administrator

WORK AREA: Louisiana

Outpatient Behavioral Health Office

SUMMARY: Under the supervision of the Office Administrator, the Office Manager will answer telephones, schedule client services, perform insurance verification, reschedule, and confirm client appointments, greet and check-in clients, obtain client documentation and intake paperwork and scan to the system, and move clients through a pre-determined schedule of appointments at the office. Employee will also submit completed care charges to billing and make follow-up appointments.

BLOODBORNE PATHOGEN CATEGORY I: Tasks with actual blood/body fluid exposure are not included in this position’s duties.

  1. Day-To-Day Responsibilities*
  • Answersall incoming calls in an efficient, pleasant, andprofessionalfashion. Schedules new clientsfor intakeappointments; provides explanation toclientofwhat to bring and what to expect at first appointmentand makes reminder calls.
  • Verifies client’s insurance when scheduling.
  • Works with clients and billing to resolve any client insurance issues thatimpactsclient’sability to receive treatment.
  • Confirms client’s appointment and information; updates systems to reflect any changes.
  • Create and organize client charts (Physical and electronic into EHR)
  • Welcomesandgreetsall clients as they arrive, orientingclientto the space and providingcompanyinformation, patient rights information, privacyinformationand other required notifications.
  • Checks client in and scans all client-completed paperwork to the electronic health record. Notifiesproviderof client’s arrival.(Ensure that ROIs are obtained)
  • Schedulesclient’sreturn appointment and checksclientout atendofvisit. Reviews andupdatesclient’scarerecord,submittingto billing department.
  • Serves to gather client information toassistbillingdepartmentin the event ofa coding denial. Maintains professionalrelationshipwithclientas the face of PathBehavioralHealthcare,impactingthe client’s care experiences.
  • Requests and scans prior care records at the request of the clinical providers at the site.Followsup on requests to ensure that information is available.
  • Manages mail, faxes, and officesupplyordering for site.
  • Identifiesopportunities for marketing and business growth; prepares for and attends events when available.
  • Communicate with staff on any information the doctor or LMHPs left for them
  • Preform Dr. Day duties(Doctor dayis the day that alldr. & nurse practitioner appointments are done.)
  • Update Rosters, Census, Referral log, and Provider Bios.
  • Update employee charts withnew information
  • Set up CPR/CPI classes
  • Keep an updated employee list and birthday list
  • Works withBusinessDevelopment team toidentifyReferral Partners and communicate daily with Partners.
  • Thisincludesfollowing up on clients that were referred thatdidn’tshow up and need to be re-scheduled, clients who are completing treatment. (ROI must be obtained)
  1. Day-To-Day Team Member Responsibilities*
  • Willingly serves in a professional and collaborative capacity with all other employees and PathBehavorialHealthcare.
  • Fully understands andcomplies withall organizational processes and policies
  • Takes initiative to help clients and others.
  • Consistently practices active listening andmaintainsa pleasant, solution-focused attitude.
  • Collaborates with all colleagues and coworkers to communicate with transparency and drive implementation of the organization’s goals,objectivesand processes.
  • Maintains an organized workspace and outpatient office& put inthe servicecalls for any broken things.
  • Is at work on time and ready to work, and leaves work at the completion of client care responsibilities.
  • Maintain strict compliance with HIPAA guidelines and confidentiality agreements.
  • Maintains a demeanor of positive professionalism.
  • Assistwithadditionalclerical services as requested 
  1. Assist Nurse Practitioner (NP) with the following: 
  • Scheduling and rescheduling of patient appointments 
  • Take vitals to include height and weight. 
  • Take phone messages for NP. 
  • Order supplies. 
  1. Professional Development/Education*
  • Attends all company education seminars, seeks other opportunities to grow knowledge ofcompanyand work responsibilities.
  • Participates in site team meetings, company meetings, volunteers for special projects or committees that would enhance professional growth.

QUALIFICATIONS:

Education:Preferred: Associates degree in a healthcare related field

Required: High school diploma with experience as noted below.

Certification:Must hold active CPR certification

Experience/Skills:Preferred: 1-year recent clerical, customer service or marketing experience in a behavioral health office

Minimum of 2 years’ experience in a clerical or customer service-related field in a healthcare environment

Thorough knowledge of billing and coding guidelines.

Thorough knowledge of privacy, HIPAA, and confidentiality requirements.

Physical Effort: Requires working under stressful conditions or with interruptions.

Requires sitting, viewing computer monitors and keyboarding.

Must be able to lift 25 pounds

Interpersonal Skills:Requires excellent interpersonal and time management skills and a calm, professional style of communication.

Background:Must pass all federal and state background checks. Educational and work history will be confirmed in compliance with company policies. Required to pass all pre-employment drug, alcohol and Tb testing.