Insurance Verification Clerk

Overview

Summary

The Insurance Verification Clerk is responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual’s insurance plan. Responsibilities include, but are not limited to, heavy phone contact with managed care companies, entering data accurately, updating patient benefit information in the practice management system, providing patients with pertinent information regarding their insurance coverage, explaining coverage amounts provided by their insurance policy, and assisting patients with arranging payment plans for services not covered by their insurance companies.

The Insurance Verification Clerk must also be willing to perform light administrative duties as needed.

• Bilingual in English & Spanish, both oral and written.
• High school graduate or equivalent.
• Two years of experience in a medical office environment to include work with Medicaid, Managed care organizations, commercial and other third-party payer.
• Federally Qualified Health Center (FQHC) experience preferred.
• Experience with medical and dental terminology, procedural and diagnostic coding (ICD, CPT, CDT, and HCPCS).
• Maintain compliance with HIPAA regulations.
• Good oral and written communication skills.
• Ability to deal professionally, courteously and efficiently with the public and all levels of the organization.
• Ability to handle multiple projects simultaneously.
• Ability to operate computer, copier, fax, and 10-key machine.
• Proficient in practice management system and Microsoft Office software applications.
• Basic accounting knowledge.

• Responsible for accurately entering insurance information into the electronic health record and practice management system.
• Responsible for insurance verification for all patients.
• Contact patients regarding financial obligations.
• Assist patients with arranging a payment plan for any services not covered by their insurance company.
• Documenting activity in the patient accounts.
• Concisely, precisely and accurately documenting all information in the electronic health record and practice management system.
• Maintain clear communication with patients as well as insurance companies.
• Maintain strict confidentiality of patient and center related business.
• Perform other duties as assigned by the Patient Access Manager.
• All Health Center staff members have emergency and disaster response responsibilities. Participates in all safety programs which may include assignment to an emergency response team.

• Paid Time Off
• 10 Company holidays
• 1- 8-hour Personal holiday
• 401(k) retirement plan- employer matches up to 5%
• Bereavement Leave
• Continuing Education
• Employee Assistance Plan
• Student Loan Forgiveness-if applicable
• Medical, Dental, Vision – Aetna
• Basic Life ($35k)/AD&D – 100% paid for by the employer
• Employee Assistance Plan (EAP) – 100% paid for by the employer
• Additional benefits available at employee expense:
• Additional Voluntary Life Insurance
• Short-Term Disability (STD)
• Long-Term Disability (LTD)
• Accident Insurance
• Critical Illness Insurance
• Hospital