Insurance Verification Specialist Job Description Sample Template

This free Insurance Verification Specialist job description sample template can help you attract an innovative and experienced Insurance Verification Specialist to your company. We make the hiring process one step easier by giving you a template to simply post to our site. Make sure to add requirements, benefits, and perks specific to the role and your company.

Insurance Verification Specialist Job Summary

Our healthcare facility is currently seeking an Insurance Verification Specialist. In this role, you will verify insurance coverage for new patients and referrals, as well as update information for existing patients. Your duties will also involve calling to obtain pre-authorization for services, which requires strong phone communication skills. After verifying coverage, you will help patients understand what their financial responsibilities will be. Applicants should have an associate degree and medical billing experience. Bilingual communication skills are a major plus.

Insurance Verification Specialist Duties and Responsibilities

  • Verify insurance information for new patients and referrals
  • Update insurance information for existing patients
  • Call to obtain pre-authorization for recommended services and procedures
  • Explain to patients what their financial responsibilities will be
  • Inform relevant clinical staff about denials
  • Answer questions related to billing and insurance

Insurance Verification Specialist Requirements and Qualifications

  • High school diploma or GED certificate
  • Associate degree (or equivalent experience)
  • Medical billing experience (2 years preferred)
  • Knowledge of CPT codes and basic medical terminology (preferred)
  • Phone communication skills
  • Bilingual ability (English/Spanish) a plus

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