INSURANCE VERIFICATION SPECIALIST

3 months ago

Garden Grove, United States Gratius Enterprises Inc. Full time
Job DescriptionJob Description

POSITION: Insurance Verification Specialist

Summary:

The role of the Insurance Verification Specialist is the accurate and timely verification of patient insurance coverage and hearing aid benefits for multiple Insurance Carriers, IPAs, Medical Groups, and CAP Hospitals. Our team members provide the highest quality service while supporting the mission and clients of RevNu Medical Management.

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Contact various insurance companies, via phone or online to obtain detailed and accurate information of our Patient's eligibility and hearing aid benefits.
  • Complete insurance verification forms, enter electronic notes and communicate results to the Providers though our electronic Practice Management System.
  • Work with various administrative Teams to ensure correct and accurate information is received and communicated timely.
  • Meet or exceed daily Quotas.
  • Assist in educating and act as a resource to clinics and others.
  • Determine member benefit coverage and discuss benefits with clinics, team members and administration.
  • Maintain the confidentiality of patient information in accordance with company policy & procedure, and HIPAA regulations.
  • Perform other duties as assigned.


Required Skills:

Must be persistent and maintain a professional demeanor.

Ability to communicate in a professional manner; both verbally and written.

Proficient in Microsoft Office with strong Excel skills.


Required Education and Experience:

Experience and education requirements may be adjusted where necessary in response to labor market constraints.

  • A minimum of 2-year insurance and billing experience with understanding and prior experience with insurances i.e. PPO, HMO, Medicare & Medi-Cal.
  • Skilled in Microsoft Office: Word and Excel
  • Excellent oral and written communication skills.
  • Strong customer service orientation.
  • Excellent organizational and problem-solving skills.
  • Ability to manage multiple tasks within strict deadlines.
  • The ability to work well under pressure (most of the paperwork is time sensitive).
  • Detail oriented.
  • Ability to take direction, work well alone and in a team environment.
  • A thorough understanding of CPT, ICD-10, and medical terminology is a plus


Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Work Environment:

This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers and smartphones.


Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.


Expected Hours of Work:

This is an in office, Full-time position in Garden Grove, CA. Standard days of work are Monday through Friday and hours of work may vary from 8:00 a.m. to 4:30 p.m. as needed. This position does not require weekend work.

Pay, Benefits & Perks:

  • Competitive Pay Based on Experience
  • Paid Time Off (PTO)
  • Sick Time Off
  • 7 Paid Holiday Per Year
  • 401(k) plus Company Match
  • Employee Referral Bonuses
  • Medical, Dental, and Vision Insurance
  • Employer-Paid Life Insurance
  • Short-Term Disability Insurance
  • Voluntary Worksite Benefits such as Accident, Critical Illness, Hospital and Identity Theft

RevNu Medical Management is a U.S. leader in full Audiology and Hearing Aid Practice Management Solutions. Come join our ever-growing Team of energetic and dedicated people who love what they do, and love helping our clients provide necessary Hearing Health Services to their Patients across the Country.

RevNu Medical Management provides equal employment opportunities. We are committed to complying with all state, federal, and local laws that prohibit discrimination in employment, including recruitment, hiring, placement, promotion, transfers, compensation, benefits, training, programs, reductions in workforce, termination, and recall. Our facility strives to provide equal opportunity for employment to all individuals who are properly qualified and able to perform the duties of their employment, without regard to employees’ legally-protected characteristics (“protected class”) including: age, sex, race, color, creed, religion, national origin, ancestry, citizenship, marital status, pregnancy, medical condition, physical or mental disability, sexual orientation, gender identity, sex stereotyping, or genetic information.


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