Verification Specialist

About the role

Responsible for the overall verification of patients’ health coverage with patients’ insurance company to ensure necessary procedures are covered by the provider prior to patient appointments. Enters primary and secondary insurance data in an accurate manner, verifies that existing information is accurate, and updates patient benefit information in the system. Responds to all internal and external phone inquiries regarding patient benefits and financial obligations.

Responsibilities

Interaction with front office staff and insurance companies on a daily basis is necessary in order to coordinate patients’ insurance information and complete the verification process. Key Performance Areas include:

• Insurance Eligibility & Benefits Verification: Verify insurance eligibility and benefits specific to radiation treatment services, load insurance information for patients with new or changed insurance coverage, and re-verify eligibility and benefits for existing patients prior to the first visit of each new calendar year.
• Insurance Updates & Referral Coordination: Notify internal departments and stakeholders of all insurance changes, coordinate with Authorization staff to obtain required referrals and supporting documentation, and ensure insurance records are accurate and updated within applicable systems.
• Communication & Service Excellence: Communicate clearly and timely with patients and staff via company email and approved communication tools, interact professionally with patients, clients, physicians, and fellow employees, and provide responsive, accurate, and timely service to both internal and external customers.
• Team Collaboration & Operational Support: Cooperate with team members to accomplish departmental and organizational goals, work collaboratively across departments to resolve eligibility and coverage issues, and support workflow changes and operational improvements.
• Compliance, Reliability & Continuous Improvement: Understand and adhere to organizational policies, procedures, and compliance standards, maintain confidentiality and accuracy in handling patient and insurance information, and contribute ideas for improved processes and workflow efficiencies.

Qualifications

A high school diploma or equivalent is required. Minimum of 2 or more years of experience in healthcare verification/authorization insurance, with medical and oncology experience preferred.

Skills

Spanish bi-lingual is preferred.

Pay

The pay range for this position is $17.93 - $29.89.

Schedule

Travel is required 0-25% of the time.