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Insurance Verification Specialist

1 month ago

Edison, United States Bedrock Healthcare At Home Full time
Position Summary:

The Insurance Verification Specialist is a critical position in the process of ensuring a clean client billing process. This position is responsible for performing clerical functions for patient billing, including verification of insurance information and resolution of billing issues. Accomplishes timely follow up on accounts that require further evaluation for expediency in error resolution and processing.

Essential Functions:
  • Verifying patient insurance coverage, communicating with insurance company's authorization departments regarding CPT code discrepancies (as assigned), and contacting patients prior to appointment(s) if there are any insurance/authorization issues.
  • Communicating with insurance company on any needed prior authorization
  • Responsible for entering data in an accurate manner, as it is to update patient benefit information and verify that existing information is accurate.
  • Perform other duties or functions as assigned
  • Assisting with the office phones
  • Collecting outstanding balances
  • Other duties that may be assigned within your scope of practice by admin team.
•Maintains patient demographic information and data collection systems.
•Verify insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
•Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the front end department at all locations.
•Coordinate with front end regarding scheduling errors.
•Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
•Enter insurance referrals as needed.
•Participates in development of organization procedures and update of forms and manuals.
•Answers questions from patients, clerical staff and insurance companies.
•Works in conjunction with the reception to ensure clean billing.
•Performs miscellaneous job-related duties as assigned.
•Participates in educational activities and attends monthly staff meetings.
•Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
•Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

Benefits:
  • 401(k) w/ up to 4% match
  • Health/Dental insurance
  • Vacation Time
  • Incidental/Sick Time
Education:
  • High school or equivalent (Preferred)
Experience:
  • Insurance verification: 1 year (Preferred)
  • Medical billing: 1 year (Preferred)

•Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.
•Basic Life Support Certification required.
•Strong knowledge of administrative and clerical procedures.
•Proficient in computers and relevant software applications and practice management technology.
•Possession of strong problem-solving skills and sound judgment.
•Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
•Knowledge of customer service principles and practices.
•Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
•Ability to be proactive and take initiative.
•Exhibit high level of quality through attention to detail and monitoring of work.
•Possession of strong organizational skills.
•Excellent verbal and written communication, as well as exceptional interpersonal communication skills.

We are an equal opportunity employer and we are committed to a work environment that promotes diversity, equity, and inclusion