Insurance Verification Specialist

Responsibilities

• Provides professional, accurate and timely insurance verification
• Initiates and secures authorization for hospital services
• Notifies patients of in-scope hospital services based on requirements for medical and other liability plans
• Obtains plan benefit information and creates hospital cost estimates for expected patient liability
• Prepares financial communication with patients
• Specializes in payor types such as Commercial, Workers Compensation, Medicare, Medicaid, or Other Liability
• Acts as a resource to patients, family members, physicians, and other departments regarding medical and/or other liability policy benefits, authorization guidelines, and plan limitations

Qualifications

• Education: Associate degree in business or healthcare, or equivalent experience, required
• Experience: Two years of directly applicable healthcare business office experience (billing/credit/collection) or applicable insurance customer service experience required
• Demonstrated knowledge of insurance guidelines, including benefits and authorization protocols
• Hospital insurance verification experience preferred
• Skills: Strong written and verbal communication and demonstrated effective interpersonal skills, problem solving, knowledge of Payor/Plan structures, Medical policies, Payor contracts and Payor laws, CPT and Diagnosis coding, medical terminology, typing speed of 40 wpm, PC based computer skills, online eligibility systems, claim status review, independent judgment, organizational and prioritization skills, attention to detail, public relations, multitasking, learning new skills, adapting to change, fast-paced environment

Pay

Pay Range: USD $21.25 - USD $30.39 /Hr.