Insurance Verification Coordinator
3 weeks ago
At Primus Ortho, we are seeking a highly skilled Insurance Verification Specialist to join our team. As an Insurance Verification Specialist, you will play a critical role in ensuring the accuracy of patient insurance information and resolving any issues that could impact the billing process.
Key Responsibilities:
- Verify insurance eligibility for medical and vision coverage using online resources or direct contact with insurance carriers prior to patient appointments.
- Maintain and update patient demographic information and insurance details within the billing system.
- Communicate with the front-end staff regarding patient deductibles, copays, and scheduling, ensuring accurate billing information is captured and communicated.
- Contribute to the development and updating of organizational procedures, forms, and manuals related to insurance verification.
- Respond to inquiries from patients, staff, and insurance companies regarding insurance coverage and billing queries.
- Work closely with the reception and front-end departments to ensure clean billing and assist in interpreting insurance carrier information.
- Uphold the strictest confidentiality and adhere to all HIPAA guidelines and regulations.
Requirements:
- Minimum of 1 year of relevant experience, or an equivalent combination of education and experience, preferably in a medical office setting.
- Proficient in the use of computers, relevant software applications, and practice management systems.
- Strong problem-solving skills with the ability to apply sound judgment.
- Ability to work effectively across departments and with both internal and external stakeholders.
- Knowledge of customer service principles and a track record of providing excellent service.
- Demonstrated ability to achieve team goals in line with organizational values.
- Proactive in task management with the initiative to improve processes.
- High level of quality in work through careful attention to detail.
- Exceptional organizational abilities.
- Excellent verbal and written communication skills, with an emphasis on effective interpersonal communication.
Preferred Experience:
- Prior experience in insurance verification within a medical office is highly desirable.
- A background in customer service within a healthcare environment is preferred.
- Bilingual (Spanish) is highly preferred.
- Prefer experience with ECW systems, Microsoft Word & Excel and e-mail.
- MUST HAVE AT LEAST 1-2 Years of experience as a Medical Receptionist.
This position requires you to be extremely detail oriented and responsible, with a take-charge attitude, initiative, and a desire to take on additional duties and responsibilities. Benefits include above market pay rate, annual reviews for pay increases and bonuses, health & dental, paid vacation & holidays, increased vacation time with years of service, 401k and employer contribution options, Credit Union Membership, Wellness Bonuses and a fantastic support staff.
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