Insurance Verification Specialist

GENERAL SUMMARY OF DUTIES : Responsible for verifying patient insurance coverage and benefits to ensure necessary services are covered by an individual's medical plan and clearly document said information into the Practice Management System.

ESSENTIAL FUNCTIONS :

• Resolve Clearinghouse alerts and communicate required updates to the Patient Access Representatives as needed
• Correct and update the Practice Management system with eligibility details
• Obtain insurances eligibility through payer websites as needed
• Contact external entities, as required, to obtain updated demographics & / or insurance coverage
• Customer Service and administrative responsibilities

KNOWLEDGE, SKILLS & ABILITIES :

EDUCATION REQUIREMENTS : Minimum education required is a high school diploma or equivalent.

EXPERIENCE :

ENVIRONMENTAL / WORKING CONDITIONS : Office setting. Frequent telephone calls and other interruptions, which requires being able to handle a fast-paced work environment during entire time at work. Must be able to prioritize multiple projects. Must maintain strict confidentiality and exercise professionalism when interacting with staff, managers, supervisors, physicians, external customers, etc.

PHYSICAL / MENTAL DEMANDS : requires continuous standing, sitting, frequent walking, bending, and stooping. May require lifting 50 to 100 pounds. Exposure to possible Hazardous Materials / conditions and infectious diseases.