Insurance Verification Specialist

Job Description

Job Description

Job Purpose: Provides support to the medical office between the Credentialing, Front Desk, and Call Center Departments as needed. Serves staff and patients by helping them in a professional and courteous manner.

Job Duties:

• Anticipate patients' concerns, answer questions, and maintain an organized office area at all times.
• Protect patients' rights by maintaining confidentiality of personal and financial information.
• Maintain accurate patient records by obtaining, recording, and updating patient information.
• Obtain revenue by charging and collecting payments from patients, then recording and posting financial information to patient charts.
• Maintain operations by following office policies and procedures.
• Contribute to department effort and assist in additional tasks, as needed.
• Answer daily telephone calls in a professional manner/make daily phone calls if needed.
• Perform other related duties as assigned by the immediate supervisor or their designee.
• Reports to the Billing or Office Manager
• Confirm patient insurance benefits and account balances
• Respond to insurance inquiries from internal departments, patients, or insurance companies.
• Follow processes or procedures.
• Responsible for the pre-verification of insurance benefits for patients. The insurance verification process includes copays, deductibles, OOP, policy status, referral requirements, pre-existing clause, plan exclusions, authorizations.
• Ensures insurance coverage by telephone or web portal, resolves any issues with coverage, and escalates complicated issues to a supervisor or manager. Follows up on accounts that require further evaluation.

Skills/Qualifications: Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing, Professionalism, Quality Focus. Must have a High School diploma and at least 4 years of experience in clerical/administrative duties in a medical office setting. Prolong Sitting.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental Insurance
• Disability insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Paid training
• Vision insurance

Schedule:

• 8-hour shift
• Monday to Friday

Experience:

• Insurance Verification: 3 year (Preferred)
• Customer service: 1 year (Preferred)

Work Location: In person

This position requires the individual to undergo and pass an L2 Background check through AHCA (Florida Agency for Healthcare Administration) before their first day of employment. This process includes fingerprinting.

If you do not possess an active/eligible L2 background check, we are unable to offer the job. Please note that the individual may be charged $89.15 to complete the fingerprinting process through DTIS (Digital Trusted Identity Services).