Insurance Verification Specialist and Patient Service Representative; PSR

Insurance Verification Specialist and Patient Service Representative (PSR)

Position summary:

The Verification of Insurance (VOI) Specialist plays an essential role in supporting our team by verifying benefits, securing authorizations, and assisting with administrative tasks to ensure a smooth and positive patient experience. This is a full-time, non-clinical position based in Columbia, TN.

• Verify benefits and obtain authorizations if needed.
• Cross-train and assist at the front desk, including:
  • Scheduling appointments
  • Assisting with patient check-in/out
  • Completing reports (e.g., task preregistration completion)
  • Collecting account payments and copays
• Communicate professionally with patients (in person and by phone) and team members to support excellent customer service.
• Demonstrate working knowledge of:
  • Electronic documentation systems
  • Microsoft Office Suite
• Place phone calls to patients, family/significant others, insurance companies, and facility personnel to obtain information necessary to verify.
• Resolve issues with coverage, referrals, precertification and escalate complicated issues to the immediate manager. Have a basic understanding of what a referral and an authorization are.
• Enter and verify information in insurance fields; update information in the system as needed. This includes moving any VOBs, authorizations, and clinical referrals. If encounters were billed incorrectly, email collections for potential rebilling.
• Familiar with facility concepts, practices, and procedures; rely on experience and judgment to plan and accomplish goals.

• Prior experience collecting copays, deductibles, coinsurance, and outstanding balances.
• Knowledge of insurance processes, terminology, and workflows.
• Experience reading and interpreting payer eligibility electronic returns, differentiating between insurance plans, copays, deductibles, and coinsurance (patient responsibility).
• Familiarity with administrative and clerical processes.
• Strong communication skills, professional demeanor, and commitment to excellent customer service.
• Proficient in Microsoft Office Suite and comfortable learning new electronic systems.

• Experience using Next Gen software.

• Competitive pay
• Comprehensive benefits package including medical, dental, and vision coverage
• 401(k) with employee match and discretionary profit-sharing
• Paid Time Off (increases with years of service)
• Paid holidays

TOA is an equal opportunity employer. TOA conducts background checks and drug screens on applicants who accept employment offers. TOA adheres to HIPAA and OSHA safety guidelines.