Medical Insurance Verification Specialist

SUMMARY:  

Communicates with internal and external individuals to obtain information, resolve benefit issues, and ensure accurate benefit information is obtained.  Monitors and resolves issues on internal benefit error workqueue.  Works closely with the manager and supervisors in formulating and implementing departmental objectives.

DUTIES AND RESPONSIBILITIES:

 Primary Responsibilities

1. Answer incoming calls.


2. Performs verification as assigned.


3. Make outbound calls to insurance for benefit information.


4. Make outbound calls to patients to obtain current insurance information.


5. Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner.


6. Assist Patient Access Representatives with onsite patients for quick, prompt and accurate benefit infomation.


7. Provide backup phone coverage to Customer Service

BACKGROUND REQUIREMENTS:

• Education, Experience Equivalent to:

• High School Diploma or equivalent.


• Two years of experience in medical billing and insurance verification.


• Two years of experience in a customer service environment.


• Epic software experience a plus.


• Availity/RealMed software experience a plus.

• Skills and Abilities


• Must have proficient keyboarding skills, be familiar with the Windows environment and have an understanding of various payer verification/claims software and websites.


• Evidence of excellent communication skills both oral and written including the ability to spell accurately and write legibly.


• Excellent customer service skills.

• Physical Requirements

• Continuous sitting.


• Frequent use of computer (repetitive fine hand manipulation) and simple grasping of items.


• Occasional bending and twisting of neck and back, standing and/or walking, lifting/carrying of items up to 25 lbs.