Verification Specialist

Responsibilities

• Communicate with insurance carriers regarding claim denials, overdue accounts, incorrect payments, and pending verification requests.
• Liaise with insurance carriers and the Workers' Compensation Board to obtain updated information and resolve outstanding issues.
• Absorb and distribute incoming and outgoing correspondence.
• Track and reconcile payments to ensure full reimbursement for services rendered.
• Respond promptly to requests for additional documentation or information.
• Accurately identify, organize, and upload supporting documents into the internal database.
• Prepare and submit proper documentation to request payments from the Workers' Compensation Board.
• Provide clear and accurate information via phone, email, fax, or mail as required.
• Collaborate effectively with team members to complete daily tasks and maintain workflow efficiency.
• Maintain a high level of professionalism in all communications and interactions.
• Review reports and ensure accurate record-keeping within electronic patient accounts.
• Perform other administrative and clerical duties as assigned.

Preferred Requirements

• Basic knowledge of No-Fault and Workers' Compensation claims
• Familiarity with NY No-Fault regulations
• 68 Understanding of ICD-10 and CPT coding
• Knowledge of HIPAA compliance standards

Education And Experience

• A high school diploma or equivalent required
• Basic computer knowledge, including familiarity with Google Workspace (Docs, Sheets, Gmail, etc.)
• Experience with data entry and maintaining accurate records
• Prior customer service experience preferred