Salary Range $19.00 - $20.00 Hourly
Level Experienced
Position Type Full Time
Education Level High School
Category Accounting and Finance
Description
Job Summary: In accordance with the organization’s mission, vision and values, 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 other in a team environment. The following duties will apply:
Duties
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Maintains patient demographic information in eCR.
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Verify insurance eligibility for admitted clients by utilizing online websites or by contacting the carriers directly.
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Review patient deductibles and/or copays and enter into the billing system and spreadsheets.
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Coordinate with front end regarding needed authorizations and those that are Medicaid Restricted.
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Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
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Enter insurance referrals as needed.
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Participates in development of organization procedures and update of forms and manuals.
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Answers questions from patients, clerical staff and insurance companies.
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Works in conjunction with billing to ensure accuracy of claims.
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Performs miscellaneous job-related duties as assigned.
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Participates in educational activities and attends monthly staff meetings.
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Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
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Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.
Qualifications
Minimum Qualifications:
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Preferred experience doing prior insurance verification in a medical office. Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.
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Strong knowledge of administrative and clerical procedures.
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Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
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Knowledge of customer service principles and practices.
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Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
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Ability to be proactive and take initiative.
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Exhibit high level of quality through attention to detail and monitoring of work.
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Possession of strong organizational skills.
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Excellent verbal and written communication, as well as exceptional interpersonal communication skills. Other Skills/Knowledge and Experience
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Ability to work independently on assigned tasks, as well as to accept direction on given assignments.
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Proficient in computers and relevant software applications.
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Strong problem solving skills and sound judgement.