INSURANCE VERIFICATION SPECIALIST

INSURANCE VERIFICATION SPECIALIST

Job Summary

Responsible for verifying insurance coverage and eligibility of all patients' accessing services. Maintains confidentiality, professionalism, and ethics while assuring verification accuracy; pertaining to insurance coverage, demographics, and responsible party.

Job Responsibilities

• Verifies coverage and eligibility in real-time for multiple departments throughout the organization.
• Verifies insurance coverage presented by the patients.
• Complete tasks that fall to the patient, claim edits, and account work queues.
• Communicates effectively with the community, professionals, insurance companies, and external agencies.
• Supports Case Management Staff for current patient issues.
• Communicates closely with financial advocates to resolve issues that require patient input.
• Resolves issues related to eligibility and coverage identified by billing staff to ensure claim payments.
• Participates in maintaining the payer database in EPIC.
• Supplies educators with examples of coverage discrepancies used to assist in the continued training of Access staff.
• Problem solves and troubleshoots system errors and reporting issues and / or routes to system administrators.
• Assists with special projects and duties as assigned.
• Performs all functions related to registration / admitting via computer.

Qualifications

Skills and Attributes

Physical Demands

Owensboro Health Core Commitments

INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.

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