Job Description
Job Description
Position Summary : The Insurance Verification Specialist responsibilities include making sure patients have proper insurance coverage for the services provided by the clinic and having successful face-to-face and over the phone interactions with patients and their insurance companies to give the patient the best care possible.
DUTIES / RESPONSIBILITIES
- Verifying insurance coverage of patients using various payers' websites
- Collecting payments for services in-person or by phone
- Explaining coverages to patients
- Obtaining referrals for patients when they are not covered
- Updating patient information / keeping records
- Filling out documentation required for billing
- Communicate with insurance companies and 3rd part billing company to resolve claim denials
- Collaborate with the billing department to track payments and resolve any insurance related issues
- Identify opportunities for process improvements in insurance verification procedures
- Handle any insurance related queries from internal and external stakeholders
- Other duties as assigned
QUALIFICATIONS
- High school diploma or GED
- 2 years or more of previous health care insurance experience, preferred
- Clearances : Act 33, 34, and 73
- Proof of annual Flu Shot
KNOWLEDGE / SKILLS / ABILITIES
- Familiarity with medical terminology
- Work experience with insurance companies
- Ability to navigate the internet using various web portals
- Clear communication skills
- Detail-oriented
- Data entry skills
- Well organized
The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all duties and skills required in order to perform the work.
The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.
If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.
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