Insurance Verification Representative

Responsible for obtaining and providing accurate and complete data input for insurance verifications in clients' host systems.

Responsibilities

• Utilize payer web portals to obtain patients' current insurance information and update the information in the client system
• Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up-to-date information is on the patient’s account
• Once updates are entered in client system, follow procedure on filing the claims
• Comment all actions taken in internal and client host system
• Work independently from assigned work queues
• Meets and maintains daily productivity/quality standards established in departmental policies
• Adheres to the policies and procedures established for the client/team
• Communicate effectively with leadership
• Maintain a professional attitude
• Other duties as assigned by the management team
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Requirements

• High school diploma or equivalent required
• Insurance Verification knowledge helpful
• Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred
• Knowledge of individual payor websites, including eviCore, Navinet, and Novitasphere
• Ability to work well individually and in a team environment
• Strong organizational and task prioritization skills
• Proficiency in Microsoft Office Suite; must have basic Excel skillset
• Strong communication skills (oral and written)
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem-solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results-oriented
• Excellent written and verbal communication skills
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

Physical Demands

• Occasionally required to move around the work area
• Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones
• Extend arms; kneel; talk and hear

Mental Demands

• Must be able to follow directions, collaborate with others, and handle stress

Work Environment

The noise level in the work environment is usually minimal.