Insurance Verification Specialist II – UAMS Health Benton/Bryant

About the role

The Insurance Verification Specialist II is responsible for verifying insurance benefits, processing authorizations and pre-certifications, and working appropriate registration and billing work queues at the UAMS Health Benton/Bryant location.

Responsibilities

• 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.
• Works 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.
• May perform other duties as assigned.

Requirements

• High School Diploma/GED.
• Two (2) years of experience in customer service.
• Two (2) years of insurance, billing, scheduling experience in a healthcare environment.

Qualifications

• Excellent organizational and interpersonal skills to successfully interact with individuals of diverse backgrounds.
• Well-developed decision-making skills.
• Ability to maintain confidentiality and HIPAA compliance.
• Highly motivated and self-directed individual that establishes plans of action.
• Highly proficient in computer and keyboard skills.

Physical Requirements

• Constant Activities: Sit; Use hands to touch, handle or feel; Talk; Hear; Read; Concentrate or Think Analytically.
• Occasional Activities: Stand, Walk, Bend, Crawl, Crouch, Kneel, Stoop, Reach.
• Lift/Carry: 10–25 lbs.
• Push/Pull: 10–25 lbs.
• Physical Environment: Inside Office Environment.
• Noise Level: Moderate.
• Visual Requirements: Near Visual Acuity; Far Visual Acuity; Color Discrimination; Depth Perception; Peripheral Vision.
• Hazards: None.

Benefits

• Health: Medical, Dental and Vision plans available for qualifying staff and family.
• Holiday, Vacation and Sick Leave.
• Education discount for staff and dependents (undergraduate only).
• Retirement: Up to 10% matched contribution from UAMS.
• Basic Life Insurance up to $50,000.
• Career Training and Educational Opportunities.
• Merchant Discounts.
• Concierge prescription delivery on the main campus when using UAMS pharmacy.

Pay

Commensurate with education and experience.

Schedule

Shift Vary (United States of America).