Insurance Specialist - Insurance Verification

Overview

Insurance Verification Specialists help patients navigate their insurance coverage during medical treatments. They are part of Willamette Valley Cancer Institute’s Revenue Cycle Team, assisting with patient readiness and insurance verification.

Responsibilities

• Calls insurance companies to verify patient benefits.
• Completes insurance verification and summary of reimbursement and liability forms.
• Reviews and corrects demographic and insurance information in patient accounts.
• Sets up insurance referrals for scheduled patients.
• Notes information received from insurance companies and forwards completed information.
• Maintains manuals, logs, and other required documentation.
• Aids in ensuring all insurance, demographic, and eligibility information is accurately entered into the system.
• Supports patient confidentiality and follows policies to maintain clinic/corporation integrity.
• Assists with covering and assisting other business office functions as needed.

Qualifications

• High school diploma or equivalent.
• Minimum 2+ years of medical business office experience with insurance procedures and patient interaction.
• Electronic Medical Record (EMR) experience required.
• Solid understanding of medical terminology, medical insurance terms, and estimate of benefits (EOB).
• Strong written and oral communication skills.
• Proficiency in Microsoft Office Suite Programs, especially Outlook, Word, and Excel.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions.

• Sit and use hands to manipulate a computer keyboard and mouse.
• Occasionally stand, walk, and reach with hands and arms.
• Lift and/or move up to 30 pounds.
• Requires vision and hearing corrected to normal ranges.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions.

• Office environment.
• Frequent contact with staff.
• Frequent exposure to blood, toxic substances, ionizing radiation, and other clinic environment conditions.