Ins Veri Specialist

About the role

The Insurance Verification Specialist is responsible for the timely verification of medical insurance benefits. This position works from home and utilizes the Workflow Daily Appointment Report as a primary source for insurance verification and determining compatibility with TOA’s managed‑care plans.

Responsibilities

• Utilize the Workflow Daily Appointment Report to verify insurance eligibility and assess compatibility with TOA’s managed‑care plans.
• Follow best‑practice standards and procedures outlined in the “VOI Training/Procedure Manual” for day‑to‑day follow‑up tasks.
• Place phone calls to patients, family members, insurance companies, and facility personnel to obtain necessary verification information.
• Resolve issues related to coverage, referrals, and precertification; escalate complex cases to the immediate manager and apply basic knowledge of referrals and authorizations.
• Enter and ensure accuracy of insurance information in the system; update incorrect entries, move VOB’s, authorizations, and clinical referrals, and notify collections for rebilling when needed.
• Apply familiarity with facility concepts, practices, and procedures, using experience and judgment to plan and accomplish goals.

Requirements

• High school diploma required.
• 2–4 years of experience in insurance verification preferred.
• Experience reading and interpreting payer eligibility electronic returns and differentiating between insurance plans, copays, deductibles, and coinsurance.
• Strong accuracy, attention to detail, ability to follow directions, and organizational skills.

Benefits

• Competitive salary based on the current Middle Tennessee wage market.
• Comprehensive benefits suite including medical, dental, paid time off, and more.
• 401(k) plan with company match, safe‑harbor match, and profit‑sharing match.
• Work‑from‑home flexibility.