Insurance Verification Specialist

Responsibilities

• Verifies insurance coverage and benefits utilizing all available verification and eligibility tools and calls payers when needed.
• Determines and documents all ascertained information into the registration system.
• Verifies and/or obtains the necessary referral, authorization, or pre-certification prior to services being provided as required by the payer.
• Obtains the patient’s information to facilitate the verification of the unique patient identifiers for clinical purposes, billing and collections process, and compliance with state and federal regulatory requirements.
• Estate self-pay portions after benefits have been determined (deductibles, co-pays, non-covered services).
• Documents and follows up on efforts to promote team and clinic awareness.
• Collects up-to-date demographic information from patients and families.
• Maintains regular communication and follow-up with patients, families, as well as KKI programs/departments, to include: team leaders, Patient Accounting, Finance, etc.
• Keeps all applicable parties informed of pending referrals, authorizations, unanticipated delays, and/or other potential issues.
• Forwards supporting documentation in a timely manner to Care Centers, Patient Accounting, and clinical areas where applicable.
• Maintains browser and all IAMS Error Logs in a timely and accurate manner.
• Responsible for the accurate, complete, and timely capture and data entry of patients’ demographic, financial, and clinical information into the various information systems including pre-registration and/or scanning information systems.

Qualifications

• High School diploma or GED required.
• Associates degree desirable.
• 1 year of related experience with insurance benefit verification in a healthcare setting required.
• 2-3 years EPIC experience preferred.

Pay

Minimum pay range USD $40,043.12/Yr. Maximum pay range USD $66,204.53/Yr.