Clerk, Insurance Verif

Qualifications

• High school diploma or equivalent required
• 2 Years Of Previous Medical Office Experience Required
• Working knowledge of MS Office applications which includes Outlook, Word, and Excel required
• Ability to interface with the staff at the insurance carriers, HIM, and Business Office staff required
• Ability to read, write and understand documents, correspondence, and memos required
• Ability to effectively present information one-to-one and in group situations to customers, clients, and other employees in the organization required
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form required
• Critical Thinking Skills Required
• Effective PC skills required
• Preferred 2 years insurance verification/pre-certification experience or related experience preferred.
• Additional education and/or training will be considered in lieu of experience.
• Previous Collections Experience Preferred

Occupational Exposure

• Office Environment

Essential Functions

• Act as liaison between patient, physician office, and insurance company to assist patients with regards to financial responsibility.
• Notify all scheduled patients of their financial responsibility prior to their date of service.
• Verify patient insurance eligibility and benefits using technology tools, the telephone, and the internet to ensure compliance with the facilities policies and procedures.
• Cookordinate with insurance providers and the physician office to obtain pre-authorizations.
• Document these findings as instructed.
• Obtain information for medical necessity determination and coordinate with the physician office if additional information is needed.
• Communicate with patients to obtain any missing information necessary to achieve financial clearance.
• Perform Benefit verifications on all new patients.
• Cross Train As Required To Assist With Overflow Responsibilities.
• Exhibit flexibility in work schedules and assigned tasks
• Maintains minimal error rate
• Maintains productivity as requested by BOM
• Maintains supplies and forms necessary to perform duties
• Obtains and verifies patient demographic and financial information
• Participates in group meetings and /or various committees
• Makes suggestions on workflow improvements
• Notifies BOM of any issues
• Maintains a positive attitude toward their position and responsibilities

Physical Demands

• Sit
• Converse
• Listen
• Use hands to touch, handle, or feel objects, tools, or controls
• Reach with hands and arms
• Close vision
• The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.
• The employee must be able to stand and/or walk at least five hours per day.

Work Environment

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.