Insurance Verification Specialist

2 weeks ago

Tinley Park, United States Primus Ortho Full time

The Insurance Verification Specialist is responsible for ensuring the accuracy of patient insurance information and resolving any issues that could impact the billing process. This role is vital in confirming insurance eligibility, deductibles, copayments, and referrals to facilitate a seamless billing experience. The Specialist works collaboratively within a team environment to support the center's financial health and patient satisfaction.

**Principal Duties and Responsibilities**:

- **Insurance Verification**: Accurately verify insurance eligibility for medical and vision coverage using online resources or direct contact with insurance carriers prior to patient appointments.
- **Data Management**: Maintain and update patient demographic information and insurance details within the billing system.
- **Financial Coordination**: Communicate with the front-end staff regarding patient deductibles, copays, and scheduling, ensuring accurate billing information is captured and communicated.
- **Procedure Development**: Contribute to the development and updating of organizational procedures, forms, and manuals related to insurance verification.
- **Customer Support**: Respond to inquiries from patients, staff, and insurance companies regarding insurance coverage and billing queries.
- **Team Collaboration**: Work closely with the reception and front-end departments to ensure clean billing and assist in interpreting insurance carrier information.
- **Confidentiality and Compliance**: Uphold the strictest confidentiality and adhere to all HIPAA guidelines and regulations.

**Qualifications & Skills**:

- **Experience**: Minimum of 1 year of relevant experience, or an equivalent combination of education and experience, preferably in a medical office setting.
- **Interdepartmental Collaboration**: Ability to work effectively across departments and with both internal and external stakeholders.
- **Customer Service**: Knowledge of customer service principles and a track record of providing excellent service.
- **Team Goals**: Demonstrated ability to achieve team goals in line with organizational values.
- **Proactivity**: Proactive in task management with the initiative to improve processes.
- **Attention to Detail**: High level of quality in work through careful attention to detail.
- **Organizational Skills**: Exceptional organizational abilities.
- **Communication**: Excellent verbal and written communication skills, with an emphasis on effective interpersonal communication.

**Preferred Experience**:

- **Medical Office Experience**: Prior experience in insurance verification within a medical office is highly desirable.
- **Customer Service Expertise**: A background in customer service within a healthcare environment is preferred.

As an Insurance Verification Specialist at the Chicago Center for Sports Medicine & Orthopedic Surgery, you will be a critical part of our team, ensuring our patients' insurance verification process is managed with precision and care, contributing to the overall efficiency and effectiveness of our billing operations.

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