Insurance Verification Manager

1 month ago

Lincoln, United States Paradigm Oral Health Full time
Job DescriptionJob Description

Job Summary:

We are seeking a highly organized and detail-oriented individual to join our team as an Insurance Verification Manager. The successful candidate will be responsible for overseeing the insurance verification process, ensuring accurate and timely verification of insurance coverage for our clients. The Insurance Verification Manager will collaborate with various departments, communicate with insurance providers, and implement efficient workflows to streamline the verification process.


Role and Responsibilities:

  • Manage and supervise the insurance verification team to ensure the accurate and timely verification of insurance coverage for clients.
  • Develop and implement standardized procedures for insurance verification processes.
  • Provide leadership and guidance to the insurance verification team, fostering a positive and collaborative work environment.
  • Ensure staff members are reaching their daily productivity standard; work with team leader to provide coaching while enforcing the standard uniformly across the team
  • Work with VP of revenue cycle to establish insurance verification standard performance metrics and key performance indicators (KPIs); ensure the IV department achieves its KPI targets and performance metric goals
  • Conduct regular team meetings and training sessions to keep the team updated on industry changes and best practices.
  • Continuously evaluate and enhance insurance verification processes to improve efficiency and accuracy.
  • Identify and implement technological solutions to automate and streamline verification procedures.
  • Collaborate with other departments, including billing and customer service, to ensure seamless communication and resolution of issues related to insurance verification.
  • Communicate regularly with centralized offices to gather feedback and ensure central team is meeting the practice’s expectations for insurance verification
  • Establish and maintain effective communication channels with insurance providers.
  • Implement quality control measures to ensure the accuracy of insurance verification data.
  • Conduct regular audits and reviews to identify and address discrepancies.
  • Generate and analyze reports related to insurance verification metrics, providing insights to upper management for decision-making purposes.
  • Compose and present annual performance reviews to direct reports within the verification team

Required Skills/Abilities: 

  • Strong understanding of insurance policies, procedures, and regulations.
  • Excellent organizational and leadership skills.
  • Effective communication and interpersonal skills.
  • Proficiency in relevant software applications and tools.
  • Problem-solving and critical-thinking abilities.

Education and Experience:

  • Bachelor's degree in Business Administration, Healthcare Management, or a related field.
  • Proven experience in insurance verification, preferably in a managerial or supervisory role.

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