Insurance Verification Specialist

Job Summary: In accordance with the organization’s mission, vision and values, the Insurance Verification Specialist performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with other in a team environment. The following duties will apply: **Duties** 1. Maintains patient demographic information in eCR. 2. Verify insurance eligibility for admitted clients by utilizing online websites or by contacting the carriers directly. 3. Review patient deductibles and/or copays and enter into the billing system and spreadsheets. 4. Coordinate with front end regarding needed authorizations and those that are Medicaid Restricted. 5. Assist front end staff and call center staff in understanding carrier websites and verification of eligibility. 6. Enter insurance referrals as needed. 7. Participates in development of organization procedures and update of forms and manuals. 8. Answers questions from patients, clerical staff and insurance companies. 9. Works in conjunction with billing to ensure accuracy of claims. 10. Performs miscellaneous job-related duties as assigned. 11. Participates in educational activities and attends monthly staff meetings. 12. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. 13. Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes. Minimum Qualifications: 1. Preferred experience doing prior insurance verification in a medical office. Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience. 2. Strong knowledge of administrative and clerical procedures. 3. Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals. 4. Knowledge of customer service principles and practices. 5. Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly. 6. Ability to be proactive and take initiative. 7. Exhibit high level of quality through attention to detail and monitoring of work. 8. Possession of strong organizational skills. 9. Excellent verbal and written communication, as well as exceptional interpersonal communication skills. **Other Skills/Knowledge and Experience** 10. Ability to work independently on assigned tasks, as well as to accept direction on given assignments. 11. Proficient in computers and relevant software applications. 12. Strong problem solving skills and sound judgement.