Insurance Verification Specialist

We are seeking a detail-oriented and highly organized Insurance Verification Specialist to join our team. As a key player in our healthcare organization, you will be responsible for verifying insurance information to ensure accurate billing and claims processing. If you have a strong background in insurance verification, attention to detail, and a commitment to ensuring a seamless experience for both patients and providers, we want to hear from you.

Key Responsibilities:

• Review Scheduled Patients: Check the list of patients scheduled for the next day.
• Prioritize Verification: Prioritize verification based on external factors that may impact the verification time, considering insurer processing times and appointment dates.
• Complete PPO/HMO Forms: Fill out the PPO/HMO forms with information received from the clinic, patient/client, and the verification conducted with the insurance provider.
• Database Entry: Store information in the designated database in a clear and legible manner.
• Utilize Identification Methods: Use company-designated identification methods to confirm the patient’s eligibility for medical center services.
• Meet Verification Metrics: Adhere to verification compliance metrics, meeting both daily
• Communication: Interact with patients to obtain additional insurance details or clarify information.
• Problem Resolution: Investigate and resolve insurance-related issues, discrepancies, or challenges.
• Customer Service: Provide excellent customer service to both internal and external stakeholders.

Qualifications:

• Proven experience in insurance verification within a healthcare setting.
• Familiarity with medical terminology and coding.
• Strong communication and interpersonal skills.
• Detail-oriented with excellent organizational abilities.
• Proficiency in using insurance verification software and electronic health record systems.