Insurance Verification Specialist
- Enter data and validate patient information.
- Researches and corrects invalid or incorrect patient demographic information such as invalid insurance policy number to ensure proper billing.
- Determines member benefit coverage.
- Monitor and verify insurance information for individual patient visits and procedures.
- Communicate with patients about co-pays, benefits, coverage, and care authorization.
- Contacts providers with authorization, denial, and appeals process information.
- Assists in educating and acts as a resource to scheduling department.
- Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
- Responds professionally to all inquiries from patients, staff, and payors in a timely manner.
- Accurately documents patient accounts of all actions taken
- Strong work ethic and sound judgment
- Proven written and verbal communication skills
- Natural curiosity to pursue issues and increase expertise
- Demonstrated knowledge of insurances
- Two to four years related experience and/or training in insurance verification
- Two to four years of experience in medical billing
- Two to four years of experience in authorizations
- Knowledge of CPT and ICD10 codes.
- Excellent computer, multi-tasking and phone skills.
- The ability to work well under pressure (most of the paperwork is time
- sensitive).
- Must successfully pass a background check.
- Note: This is a 1099 contractor position
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