Insurance Verification Specialist

POSITION TITLE: Insurance Verification Specialist

STATUS: Non – Exempt

DIRECT REPORTS: N/A

ACCOUNTABILITY OBJECTIVE: Provides internal personnel with insurance benefit information. This
position ensures timely verification of insurance benefit information. This position ensures timely
verification of insurance benefits and financial clearance which has a direct impact to the organization’s
reimbursement from payers for patient accounts that are scheduled and unscheduled. Must be able to
communicate with insurance companies and clients from a resolution-based perspective.

KEY RESPONSIBILITIES:

• Verify patient’s insurance coverage and obtain pre-authorization.

• Referral management.

• Answer questions from patients and insurance companies.

• Perform various collection actions such as claim submission, rejections and denials, payment
posting as needed.

• Ensure that all billing is sent/ transmitted, and that payment or reimbursements are received in a
timely manner.

• Participate in educational activities and attend department meetings.

• Understand and adhere to the established office policies and procedures.

• Other job duties as assigned.

QUALIFICATIONS AND SKILLS:

• High School Diploma

• Associates or Bachelor’s Degree (Preferred)

• Up to date on CPR training

• Excellent verbal and written communication skills to include superior interpersonal and patient
contact skills and excellent telephone manners.

• Ability to effectively lead a team

ADDITIONAL EXPERIENCE, NOT REQUIRED:

• At least two (2) years of Management experience

• At least one (2) year of related experience in a Neurological setting

• Ability to communicate effectively and handle multiple priorities

• Strong computer and typing skills.