I*NSURANCE VERIFICATION SPECIALIST*
JOB TITLE: Insurance Verification Specialist
DEPARTMENT: Billing
SUMMARY: Responsible for accurately obtaining insurance information, benefits eligibility, authorizations, predeterminations and referrals for patients in preparation for upcoming appointments at the Practice. The information and eligibility must be documented in the patient EMR and copays/coinsurance patient portions must be communicated with the patients.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Stay up-to-date and follow all quality system procedures related to this job, which can affect the quality of products or services provided to our customers.
1) Comply with all company policies and procedures.
2) Must strictly adhere to confidentiality and HIPAA compliance standards.
3) Provide problem resolution and client satisfaction.
4) Interact and communicate with patients, physicians, coworkers and management in a professional manner.
5) Demonstrate a high level of flexibility with work schedules to meet company and patient needs.
6) Adhere to strict rules and regulations regarding legal and ethical billing practices.
7) Promptly report issues to management.
8) Comply with established deadlines.
9) Promptly follow up with customer calls.
10) Demonstrate high level of time management and efficiency.
11) Meet departmental and company goals.
12) Maintain good working relationships and communication with company departments and staff.
QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
1) High school diploma or GED.
2) Minimum 1 year medical office experience required.
3) Working knowledge of CPT, ICD-10 AND HCPCS coding- not required
4) Knowledge in medical terminology.-not required
5) Must have excellent verbal and written skills.
6) Experience with Microsoft Word and Excel required.
7) Experience in electronic medical records required.- EclinicalWorks, Waystar, Epic and Insurance Portals
8) Attention to detail and follow up skills are a must.
9) Strong customer service skills with friendly, upbeat, professional demeanor.
10) Experience in billing, coding and obtaining pre-authorizations required.
11) Ability to meet deadlines and quotas.
12) Must be flexible to meet census demands.
13) Ability to work within rapidly changing environments.
Certificates, Licenses, Registrations: None required
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
The noise level in the work environment is usually moderate. Background noise from co-workers is expected. Busy Surgical Practice with 9 ENT Providers.
Job Type: Full-time
Benefits:
- 401(k)- Company Distribution 1 x year
- Health insurance
- Paid time off
- HSA
- Holidays
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Medical Office Experience: 1 year (Preferred)
- Medical Terminology: 1 year (Preferred)
Work Location:
Benefit Conditions:
Work Remotely:
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Paid time off
- Professional development assistance
Weekly day range:
Experience:
- Customer Service: 1 year (Preferred)
Work Location: In person