Insurance Verification Specialist I

Summary of Job Duties

The Insurance Verification Specialist I is responsible for verifying insurance benefits, processing authorizations and pre-certifications, and working appropriate registration and billing work queues. The patient representative is expected to demonstrate competency in the job elements.

Qualifications

• Minimum Qualifications: High school graduate, GED, or formal education equivalent. Excellent organizational Skills Interpersonal skills Decision-making skills Must maintain confidentiality and HIPAA compliance. Highly motivated and self-directed individual to establish plans of action. Highly proficient in computer and keyboard skills. Level I Four (4) years of experience in customer service, call center, business office administration, registration, billing, insurance, or scheduling.
• Preferred Qualifications: Experience working in a healthcare environment.

Additional Information

• Level I Insurance Verification, Authorizations, Benefit Explanation, and WQ Management: (80%) Conducts verification of eligibility and benefits for patient insurance. Completes authorizations and pre-certifications, tracks pre-authorizations and maintains referrals. Enters benefit and authorization information into EPIC. Initiates peer-to-peer submissions and works closely with clinical counterparts to collect requested information. Obtains and coordinates completion of out of network waivers. Coordinates with UAMS Office of Financial Clearance when appropriate Professional Performance (10%) Work effectively in a team environment, coordinating workflows with other team members and ensuring a productive and efficient environment. Deals with conflicts in a positive and professional manner using careful listening and negotiation skills to resolve disagreements. Comply with safety principles, laws, regulations, and standards associated with, but not limited to CMS, Joint Commission, EMTALA, and OSHA. Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization. Other duties as assigned (10%)

Salary Information

$17.50

Required Documents to Apply

• Resume

Optional Documents

Not specified

Special Instructions to Applicants

To apply for the position, please click the Apply link/button. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.

Department

ICE | CORE PA Float

Department's Website

Department's Website

Institution Name

The University of Arkansas for Medical Sciences

Type of Position

Job Type: Regular

Work Shift

Work Shift: Day Shift (United States of America)

Sponsorship Available

Sponsorship Available: No

Benefits Eligible

Benefits Eligible: Yes