Job Description
Job Description
Job Posting Title : Insurance Verification Specialist
Job Description : Job Summary
Full Time : Mon-Fri 8am - 5pm
Corporate Office - Lutz (In-office position)
The insurance verification specialist ensures that patients' health care benefits cover required procedures. They contact a patient's insurance company to verify coverage levels and work with individuals to educate them on their benefits information. This is an in-office, full-time days position.
Administrative
- Verify insurance information for new patients and referrals
- Handle payments for services not covered by insurance
- Update insurance information for existing patients
- Call to obtain pre-authorization for recommended services and procedures
- Explain to patients what their financial responsibilities will be
- Inform relevant clinical staff about denials
- Answer questions related to billing and insurance
- Fill our documentation required for billing
Legal
Maintains confidentiality and documents accuratelyUses appropriate guidelines for releasing patient informationPractices within the scope of education, training and personal capabilitiesMaintains awareness of federal and state health care legislation and regulations; OSHA, HIPPA, and CLIACommunication
Recognizes and respects cultural diversityAdapts communication to individuals ability to understandUses professional, pleasant telephone techniqueUses medical terminology appropriatelyTreats all patients with compassion, empathy, and mutual respectWorks as a team playerTreats all staff in a professional and respectful mannerProjects a professional manner and imageConsistent attendance and punctualityAdherence to time clock proceduresCore Competencies
EfficiencyAttention to detailsOrganizedPunctualTakes initiative / ProactiveTeam PlayerHonesty / IntegrityFlexibleCalm under pressure"A Doer" / PersistenceProblem solver / Strategic thinking / CreativityAnalytical skillsClear and concise communication / Listening skillsQuick Learner / IntelligenceFollow through on commitmentsEnthusiastic / Friendly / Positive attitudeOpenness to advice and constructive criticismStrong work ethicHigh school diploma, AA degree preferred. Insurance Verification experience preferred, Knowledgeable in computer programs and medical terminology, EMR systems, Communication skills, Customer Service, Detail Oriented Focus, Bilingual ability (English / Spanish) a plus