Job Description
Job Description
Job Title - Insurance Verification Specialist
Join our team!
Are you looking for an opportunity to serve a bigger purpose with a growing organization? Are you passionate and dedicated to making a positive impact? Then we have a spot waiting for you. We are seeking engaging Insurance Verification Specialist to join our growing team.
Here's a sneak peek at what you'll do :
- Maintain Patient demographic information and data collection systems
- Work closely with front desk personnel and check in / check out staff to ensure accurate recording of insurance information
- Verify insurance eligibility for medical, dental, vision, and other insurance for upcoming appointments by utilizing online websites or contacting carriers directly.
- Review patient deductibles and / or copays and enter into the ECM (eClinicalWorks)
- Assist front office, enrollment and call center staff in understanding carrier websites and verification of eligibility
- Assist with requesting prior authorization referrals as needed
- Participate in development of procedures / process improvement and updating of applicable forms or manuals
- Answer questions from patients, internal staff and insurance companies
- Work in conjunction with billing team to ensure clean billing
- Provides key feedback and information to providers regarding verifications / corrections needed
- Documents all patient interaction in EMR system
- Other duties as assigned
What you need to succeed
High school diploma or equivalent required; Associates; preferred1-3 years work experience verifying insurance, must be able to understand verification, authorization, billing, payment posting, reimbursements.Working knowledge of terminology, CDT codes and revenue codes is required.Proficiency in excel, database reports and EHR software knowledgeMust possess the ability to read, analyze and interpret general publications.Ability to effectively present information and respond to questions from groups of managers, coworkers, patients and providers.Ability to respond to common inquiries or complaints from customers, regulatory agencies or members of the community.Must possess ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimalsAbility to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists and interpret a variety of instructions furnished in written, oral, diagram or schedule formExcellent professional written and verbal communication and interpersonal skillsAbility to produce quality work within tight timeframes; and capable of observing, receiving and otherwise obtaining information from all relevant sources then analyzing information / evaluating results to choose the best solution and solve problemsEqual Opportunity Employer
HHM Health is committed to providing equal employment opportunity to all individuals regardless of their race, color, religion, gender identity and expression, age, sexual orientation, national origin, disability, veteran status, marital status or any other characteristic protected by federal, state or local law. HHM Health hires and promotes based solely on the qualifications of the individual and the essential functions of the job being filled.
What We Offer
At HHM Health, the health and well-being of our employees matters just as much as that of our patients. We offer free employee coverage for vision, dental, and life insurance; and competitive medical premiums. Additionally, our full-time employees are eligible for the following :
Health Savings Account403(b) retirement savings plan with dollar-for-dollar matching up to 3% and match 50% of the next 2% (contribute 5% to get 4% matched). 100% vested upon enrollment.Generous paid time off plan for full-time employees (includes Sick and Volunteer Days)Paid HolidaysAccidental Death & Dismemberments (ADD) planShort-term & Long-term DisabilityEmployee Assistance Programs (EAP)HHM CARES Fund (employee emergency relief fund)No third party agencies, please.