Insurance Verification Specialist

3 weeks ago

Leesburg, United States Leesburg Dermatology & Mohs Surgery Full time
Job DescriptionJob Description
Position Summary


The Insurance Verification Specialist ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs other duties as required. Maintains a close working relationship with the clinical department to ensure continual open communication.


Work Hours/Shift: Must have availability Monday-Friday 8am-5pm



Travel: None


Responsibilities


  • Proactively contacts insurance companies by phone, fax, online portal, and other resources to obtain and verify insurance eligibility and benefits and determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled patients
  • Meet department standard when obtaining pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients.
  • Maintain close working relationship with clinical partners and referring offices to resolve issues with obtaining pre-authorizations. Conducts diligent follow-up on missing or incomplete pre-authorizations with third-party payers to minimize authorization related denials through phone calls, emails, faxes, and payer websites, updating documentation as needed
  • Minimizes duplication of patient records by using problem-solving skills to verify patient identity through demographic details
  • Ensures patient accounts are assigned the appropriate payor plans
  • Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available
  • Thoroughly documents all conversations with patients and insurance representatives - including payer decisions, collection attempts, and payment plan arrangements
  • Adheres to HIPAA regulations by verifying information to determine caller authorization level receiving information on account.
  • Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
  • Calculates patients? co-pays, deductibles, and co-insurance. Provides personalized estimates of patient financial responsibility based on their insurance coverage or eligibility

Requirements


  • Always maintain the highest level of confidentiality to HIPAA standards.
  • Must be detail oriented in order to maintain good financial practices, account balances, and financial reporting.
  • Good mathematical aptitude
  • 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 practice management system.
  • Good organizing, coordination and office skills
  • Customer service orientation and good phone etiquettes
  • Must be flexible and understand that job duties may change from time to time and that this individual may be asked to assist in other areas of the office.

  • Hearing Instrument Specialist

    2 days ago

    Leesburg, United States Staffing Proxy Full time

    Job DescriptionJob DescriptionAdvanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions. They are currently seeking a driven...

  • Business Tax Specialist

    7 days ago

    Leesburg, United States City of Leesburg, VA Full time

    Do you want to apply your expertise for a cause you can feel good about? Do you want to work for an organization that wants you to grow with it and offers tuition reimbursement, certification training, and a chance to learn about multiple industries? Come work for the Town of Leesburg, hometown of the 21st century! Located 35 miles west of the nation's...

  • Customer Service Specialist/Video Editor

    2 weeks ago

    Leesburg, United States LIFE AND MED LLC Full time

    Job DescriptionJob DescriptionThank you for stopping by, This position is Mon to Thursday 9am-4pm, Friday 9am-3pmWe are an Health Insurance Agency, we offer Medicare and Marketplace health insurance also known as Obamacare.Our office is looking for a Customer Service Specialist/Video Editor for our YouTube channel, at our Downtown Leesburg FL office, job...

  • Business Tax Specialist

    2 days ago

    Leesburg, United States City of Leesburg, VA Full time

    Do you want to apply your expertise for a cause you can feel good about? Do you want to work for an organization that wants you to grow with it and offers tuition reimbursement, certification training, and a chance to learn about multiple industries? Come work for the Town of Leesburg, hometown of the 21st century! Located 35 miles west of the nation's...

  • Patient Access Associate 1- M-f, Every Other

    4 weeks ago

    Leesburg, United States Inova Health System Full time

    The Patient Access Associate 1 is responsible for financial counseling and insurance verification, and notification to patients and/or guardians of financial responsibility. Identifies and communicates payer authorizations and referral requirements as required. **Job Responsibilities - Works independently to complete assignments without close supervision;...

  • Patient Access Associate 2- 3:00-11:30 Pm M-f

    4 weeks ago

    Leesburg, United States Inova Health System Full time

    The Patient Access Associate 1 is responsible for financial counseling and insurance verification, and notification to patients and/or guardians of financial responsibility. Identifies and communicates payer authorizations and referral requirements as required. **Job Responsibilities - Works independently to complete assignments without close supervision;...

  • Hearing Instrument Specialist

    3 days ago

    Leesburg, Virginia, United States Staffing Proxy Full time

    Advanced ENT Specialists [ a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions. They are currently seeking a driven and patient focused HEARING...

  • Oncology Patient Specialist 1

    2 weeks ago

    Leesburg, United States Inova Health System Full time

    The Oncology Patient Specialist 1 provides excellent service by identifying internal/external customer needs and fulfilling their expectations. Communicates effectively with various audiences by using the most appropriate method for the situation. Completes work assignments within established quality standards while contributing to a safe patient care...

  • Medical Receptionist, Dermatology Practice

    4 weeks ago

    Leesburg, United States Dermatology Center of Loudoun Full time

    A premier dermatology practice in Lansdowne/Leesburg, VA is seeking an enthusiastic, self-motivated, hard-working front desk receptionist/administrative assistant to contribute to the success of our practice. 4 days a week, Monday - Thursday. Responsibilities include scheduling appointments, insurance verifications, prior authorizations, patient check-in and...

  • Patient Access Associate 3- Gastro

    2 weeks ago

    Leesburg, United States Inova Health System Full time

    The Patient Access Associate 3 provides excellent service by identifying customer needs and fulfilling customer expectations. Performs assigned duties related to patient admissions while completing assigned activities related to patient scheduling for medical procedures. Verifies and enters insurance information and authorization/referral requirements into...

  • Family Support and Engagement Specialist

    2 weeks ago

    Leesburg, United States Children's Home Society of Florida Full time

    Overview * HOURLY RATE OF OF $16* Since opening our doors in 1902, CHS became a part of Florida's history. CHS has been committed to growing and evolving to provide the right services and solutions to address the needs of children and families throughout the changing times. Every day, our team works with parents and kids to empower them and encourage...

  • Eligibility Representative

    2 weeks ago

    Leesburg, United States Deco Recovery Management Full time

    Company Description Since 1993, Our team is driven to make the DECO/Elevate PFS Difference each day! We believe exceptional efforts produce exceptional results; focusing on a compassionate, empathetic patient-advocacy approach to eligibility services that not only provides hospitals with a targeted revenue flow solution for their uninsured and under-insured...

  • Dermatology Receptionist/Administrative Assistant

    4 weeks ago

    Leesburg, United States Dermatology Center of Loudoun Full time

    Job DescriptionJob DescriptionOur dermatology practice in Lansdowne/Leesburg, VA is seeking an enthusiastic, self-motivated, hard-working front desk receptionist/administrative assistant. Responsibilities include scheduling appointments, insurance verifications, prior authorizations, patient check-in and check-out, and answering telephones. Ability to...

  • Clinical Audiologist

    2 weeks ago

    Leesburg, United States Staffing Proxy Full time

    Job Description Advanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions. They are currently seeking a dynamic and...

  • Clinical Audiologist

    1 week ago

    Leesburg, United States Staffing Proxy Full time

    Advanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions.They are currently seeking a dynamic and patient-oriented...

  • Clinical Audiologist

    2 weeks ago

    Leesburg, United States Staffing Proxy Full time

    Job DescriptionAdvanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions. They are currently seeking a dynamic and...

  • Clinical Audiologist

    3 days ago

    Leesburg, United States Staffing Proxy Full time

    Job Description Advanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions. They are currently seeking a dynamic and...

  • Clinical Audiologist

    2 weeks ago

    Leesburg, United States Staffing Proxy Full time

    Job DescriptionJob DescriptionAdvanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions. They are currently seeking a dynamic...

  • Clinical Audiologist

    4 weeks ago

    Leesburg, United States Staffing Proxy Full time

    Advanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions.They are currently seeking a dynamic and patient-oriented...

  • Clinical Audiologist

    2 weeks ago

    Leesburg, United States Staffing Proxy Full time

    Job DescriptionJob DescriptionAdvanced ENT Specialists, a renowned practice in Leesburg, Virginia, offers comprehensive ENT and audiological services. Their professional staff takes pride in a multidisciplinary approach, collaborating closely with ENT specialists and physical therapists to deliver comprehensive solutions. They are currently seeking a dynamic...