Insurance Verification Specialist
2 weeks ago
Full Job Description
Provides professional clerical support following established standards and practices. Contact payers to verify benefits and insurance information prior to a patient’s appointment/procedure/surgery. Refers matters outside their scope of duties to the Billing Manager.
Responsibilities:
- Verify patient benefits for various visit types/procedures and surgery codes by contacting payors (via phone and internet)
- Document/update information in patient’s electronic medical record.
- Contact patient to obtain insurance information
- Explain applicable benefits, co-pays co-insurance and/or deductible to patient.
- Obtain authorizations.
- Represents clinic in a professional manner. Treats all patients courteously and cooperatively.
- Performs other duties as assigned.
Qualifications:
- High school diploma or equivalent.
- Minimum two years clerical experience in medical office environment.
- Working knowledge of billing/insurance processes and guidelines
- Ability to multi-task in a stressful, deadline-oriented environment.
- Ability to communicate with coworkers, providers and patients in an effective manner.
- Ability to use a computer and enter data in electronic medical record system.
PREFERRED QUALIFICATIONS:
- 3+ years clerical experience in medical office environment.
- Accounts Receivable experience helpful.
- Ophthalmology experience a plus.
- Navinet, Pear, Availity, OneSource, and payor website knowledge a plus
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