Insurance Verification Specialist

1 week ago

Austin, Texas, United States Aspire Allergy & Sinus Full time

Job Summary:

The Insurance Verification Specialist is responsible for verifying healthcare insurance benefits by utilizing payer portals and making phone calls to insurance companies. This role requires full-time onsite work and involves collaborating with Front Desk, Scheduling, and Clinical Operations teams to complete assigned tasks.

Key Responsibilities:

  • Verify healthcare insurance benefits by utilizing payer portals and making phone calls to insurance companies.
  • Collaborate with Front Desk, Scheduling, and Clinical Operations teams to complete assigned tasks.
  • Monitor voicemail to properly follow-up with patient inquiries in a timely manner.
  • Communicate with patients and Aspire staff regarding out-of-pocket cost estimates and financial responsibility as well as authorization requirements.
  • Review demographic and insurance information in patient accounts and make necessary corrections.
  • Follow policies and procedures to contribute to the efficiency of the business office.
  • Complete accurate and timely insurance verification for patient visits/procedures/testing in accordance with company policy, workflow, and department goals.
  • Complete accurate and timely third-party payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available.
  • Ensure services scheduled by the scheduling team have approved authorization as required by payer and procedure prior to service.
  • Refer underinsured/uninsured patients to the Billing Specialists to see if the patient is eligible for assistance or offer payment options prior to services being received.
  • Create a positive patient experience by being polite, compassionate, and professional.
  • Provide cross-coverage and training, when needed, for other team members.
  • Maintain productivity and quality performance expectations.
  • Regular attendance is required to carry out the essential functions of the position.
  • Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge, and abilities to perform, within scope, role specific functions.

Requirements:

  • High School Diploma or higher
  • Healthcare, hospital, or clinical patient service experience

Preferred Education and Experience:

  • 1+ years of insurance verification and authorization experience in a healthcare setting.
  • Bilingual English/Spanish
  • CPT/ICD 10 coding knowledge

Benefits and Perks:

  • Medical, Dental and Vision Insurance.
  • Generous Paid Time Off and 10 Paid Holidays
  • Free Allergy Testing and Discounted Treatments
  • 401(k) + Generous Employer Match
  • Employee rewards program

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