Medical Insurance Verification Specialist

6 days ago


Allentown, Pennsylvania, United States Rezolut Full time
Rezolut is a national emerging platform of diagnostic medical imaging services. Our vision is to provide top-notch patient care partnered with innovative technology to achieve better health outcomes. We provide high-quality, cost-effective, fixed-site outpatient diagnostic imaging as well as mobile imaging and health services. In each of our regions, we are the best in radiology, offering all radiology services.

Job Summary:

Temporary coverage is needed for a Medical Insurance Verification Representative. The representative performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process.

Responsibilities:

- Follows up on accounts that require further evaluation.
- Maintains patient demographic information and data collection systems.
- Verifies insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
- Reviews patient deductibles and/or copays and enters them into the billing system and spreadsheets provided to the front end department at all locations.
- Coordinates with front end regarding scheduling errors.
- Assists front end staff and call center staff in understanding carrier websites and verification of eligibility.
- Enters 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.

Requirements:

- Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.
- 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.

What We Offer:

- Immediately accrue PTO as you work (Full Time)
- 6 Observed Holidays
- Medical, Dental, Vision, Life, and other voluntary insurances for full-time employees
- 401(k) Retirement plan
- Employee Assistance Program
- Rezolut University, a career pathways program to help further your career

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