Insurance Verification

Located in Tarpon Springs, FL

Salary: $19-$20/hr

The Insurance Verification Specialist is responsible for insurance verification for clinic and outpatient surgery appointments, ability to counsel patients regarding their financial cost share for procedures and collecting payment prior to procedures.

 

Job Responsibilities:

• Adds or updates patient insurance primary and/or secondary insurance in EHR
• Verify patient eligibility via payer websites or telephone to determine coverage of benefits and to calculate patient responsibility for services scheduled

• Enter insurance referrals as needed
• Maintains confidently by adhering to all HIPAA guidelines and regulations
• Obtain insurance authorizations
• Obtain insurance referrals

 

Job Skill & Qualifications:

• Solid understanding of medical insurance including deductibles, copay and coinsurance is highly preferred
• Experience with verifying and interrupting medical befits for Medicare, Medicaid and major commercial health insurance and secondary payers required
• Experience processing provider referrals and prior authorization requests
• Understanding of medical terminology and ICD-10 codes and Diagnosis
• Familiar with individual payer guidelines and authorization/referral requirements based on insurance plans and if needed communicate with insurance companies via phone and/or website to provide any supporting clinical documentation needed to complete the authorization process
• Ensure complete and accurate information maintained in patient account including authorization or referral received from payer or Primary Care Physician
• Strong people skills required; diplomatic, patient, flexible and able to multi-task and be cross trained on all functions within the Insurance Verification Department
• Must be mobile in an office setting, sitting, standing, walking, and bending
• Perform general duties and other functions as required or assigned
• Working knowledge of Microsoft Suite including Excel, Word, Outlook.

 

Please call 727-712-0607 or email jobs.clearwaterfl@expresspros.com

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