Insurance Verification Jobs in Detroit, MI (NOW HIRING)

Position summary

The Verification Specialist is responsible for completing tasks associated within the Billing Department Group. Responsibilities will include scheduled Accredited training, timely resolutions, proper submission of documents, and compliance with the AMS Policy & Procedure Manual, Employee Handbook, and HIPAA Policies & Procedures as required by all AMS team members. This position is expected to perform tasks within the quality and productivity standards assigned to position responsibilities and will report directly to (the) Intake, Billing, and Extensions Manager.

Role and Responsibilities

• Demonstrates characteristics that support the Mission, Vision, and Values of Anderson Medical Supplies, Inc.
• Complete all assigned tasks and responsibilities accurately and in a timely manner.
• Responds promptly, professionally, and courteously to all customers’ needs.
• Communicates effectively with all AMS team members and management.
• Participates and engages in team activities and company outings
• Constantly seeks opportunities and contributes to improve the processes to support more efficient and effective work outcomes.
• Maintains time management and prioritizes effectively.
• Practices cost effective measurements.
• Maintains confidentiality in all matters regarding operations as outlined in the Employment Agreement
• Comply with all HIPAA regulations regarding patient privacy
• Flexes to meet the department needs and objectives.
• Follows all health and safety standards.
• Works independently in a self-directed, non-confrontational, collaborative manner.
• Displays high ethical standards.
• Other duties as assigned or when necessary to maintain efficient operation of the department and the company.
• Engages with department manager for all performance related reviews and feedback discussions

Experience

• Prior experience working in a managed care environment or healthcare setting is highly preferred.
• Medical office experience demonstrating familiarity with medical terminology, medical records management, and insurance verification processes is essential.
• Knowledge of HIPAA regulations to ensure patient privacy and data security is required.
• Experience with medical coding systems such as CPT, ICD-9, ICD-10, or ICD coding is necessary for accurate documentation.
• Strong organizational skills with the ability to handle multiple tasks efficiently in an office environment.

Position Specific Expectations

The Verification Intake Specialist is responsible for completing tasks associated with insurance verification. Specific job responsibilities will be in customer service, data entry, Workers Compensation insurance verification, etc.

A Verification Specialist is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

Data Entry:

· Basic data entry into PCs, maintain database/spreadsheet by entering new and updated account information, verify patient data by reviewing, correcting, deleting or reentering correct information, review patient documentation for data deficiencies, resolve data deficiencies by using standard procedures.

Verification:

· Contact Insurance companies to verify patient coverage to meet daily productivity and quality standards, obtain prior authorizations when required by the payor, update patient insurance information, claim numbers, adjuster information, etc.

· Stays up to date on pricing tables and contract obligations as directed by management

Clerk/Scanning:

· Responsible for a variety of complex clerical functions, such as prepping, scanning and indexing patient information, indexing all documents to the appropriate patient as applicable; ensuring each document is assigned the appropriate document name, requesting medical records from sales team to help in the billing and collections process.