Verification Specialist

Job Description

The primary responsibility of the Verification Specialist is to ensure that the patient’s insurance will cover ambulance transportation services.

Essential Duties and Responsibilities

• Utilize various resources to locate insurance payers for ambulance transportation
• Contact the hospital, patient’s family, and/or patient to obtain insurance information
• Fax partner hospitals requests for information
• Validate and update patient demographics in the practice management system
• Responsible for the accurate entry of data into the practice management system
• This position requires specialist to spend extended periods of time on the phone with insurance companies
• Performing other duties as assigned.

Qualifications

• Proficient with a PC
• Experience working with insurance portals
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
• Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
• Knowledge of medical terminology
• Knowledge of Medical Billing
• Ability to work independently and with a group
• Working knowledge of MS Word, Excel
• Ability to maintain effective working relationships
• Thorough knowledge of office practices
• Ability to type at least 35 words per minute
• Ability to multi-task
• Proficiency using 10 key

Education and Experience Requirements

• A High School Diploma or GED
• A minimum of one year revenue cycle management experience

Physical Requirements

• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
• The employee may occasionally be required to lift and/or move up to 20 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
• Must be able to talk, listen and speak clearly on telephone.
• Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Travel Time

Negligible