Insurance Verification Specialist III
Summary of Job Duties
The Insurance Verification Specialist III is responsible for effective and efficient verification of all patients' benefits pre-certification and authorization before their appointment. They are responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage and researching eligibility information online with various insurance carriers.
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.
- Preferred Qualifications: Experience working in a healthcare environment.
Job Requirements
- 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.
- Captures and coordinates with UAMS Office of Financial Clearance when appropriate.
- This position is responsible for working billing follow-up WQs and denials.
- Responsible for orientation and training of new hires and further/additional training as needed.
- 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.
Physical Requirements
- Stand: Frequently
- Sit: Continuously
- Walk: Occasionally
- Bend, crawl, crouch, kneel, stoop or reach overhead: Frequently
- Lift and carry weight: 25 lbs
- Push and pull weight: 25 lbs
- Use hands to touch, handle or feel: Frequently
- Talk: Continuously
- Hear: Continuously
- Taste or smell: Occasionally
- Read, concentrate, think analytically: Continuously
Physical Environment
- Inside Medical Facility Environment
Salary Information
$20.00/hr.
Required Documents to Apply
- Resume
Optional Documents
- Special Instructions to Applicants
Recruitment Contact Information
Please contact askrecruitment@uams.edu for any recruiting related questions.
Pre-employment Screening Requirements
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity
- Frequent Physical Activity
- Occasional Physical Activity