Role Description
As a member of the Revenue Cycle Management Team, the Insurance Verification Specialist is responsible for all aspects of insurance verification. This position will complete pre-registration processes and communicate pertinent appointment information to Front Desk, Patient Intake Specialists, the Prior Authorization Department, or the Clinic, as needed.
• Obtain information about patient insurance coverage, benefits and eligibility.
• Maintain strict confidentiality in accordance with HIPAA regulations and Company/Clinic requirements.
• Provide support to all departments and patients regarding insurance questions related to eligibility and benefits.
• Answer incoming and transferred calls from patients regarding the pre-registration process.
• Prepare patient appointments for a smooth and efficient check-in process on the day of the appointment.
• Adhere to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
• Perform other duties that may be necessary or in the best interest of the organization.
Qualifications
• High School Diploma or GED.
Requirements
• At least one (1) year medical office experience required; Medical office/front desk experience preferred.
• Comprehensive understanding of insurance verification.
• Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data.
• Ability to perform essential job functions with a high degree of independence, flexibility, and creative problem-solving techniques.
• Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines.
• Ability to maintain control of a call, de-escalating issues and instilling confidence that a resolution will be found.
• Logical and critical thinking skills.
• Excellent organization, time management, and prioritization skills.
• Professional in appearance and actions.
• Enjoys learning new technologies and systems.
• Detail-oriented, professional attitude, reliable.
• Exhibits a positive attitude and is flexible in accepting work assignments and priorities.
• Meets attendance and tardiness expectations.
• Management and organizational skills to support the leadership of this function.
• Interpersonal skills to support customer service, functional, and teammate support needs.
• Able to communicate effectively in English, both verbally and in writing with sufficient grammar and spelling skills to avoid mistakes or misinterpretations.
• Basic to intermediate computer operation.
• Proficiency with Microsoft Excel, Word, and Outlook.
• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines.
Company Description