Insurance Verification Specialist

Description

The Insurance Verification Specialist is responsible for checking insurance information for patients prior to being seen in the office. Asks for insurance policy numbers, verifies accuracy of insurance claims and updates databases with medical information.

• Verifies insurance coverage of each patient.
• Handles payments for services not covered by insurance.
• Explains coverages to patients.
• Obtains referrals for patients when they are not covered.
• Updates patient information/keeping records.
• Fills out documentation required for billing.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records.
• Maintains updated manuals, logs, forms, and documentation.
• Other duties as requested or assigned.

• Excellent computer skills. Must be able to work effectively with common office software and medical records software.
• Must have the ability to handle confidential information and sensitive issues.
• Must be able to work under minimal supervision and make independent decisions using good judgment.
• Requires excellent communication, human relations, attention to detail and organizational skills.
• Requires the ability to multi-task activities.
• Must be able to communicate effectively to various ethnic and cultural backgrounds obtaining necessary resources when language barriers present.
• Ability to apply a common sense understanding to carry out detailed and involved written and/or oral instructions.

• High school diploma or a GED
• Previous billing experience preferred.
• Knowledge of EMR, medical terminology, ICD-10 and CPT codes.