Insurance Verification Specialist

-Obtain financial verification and pre-certification as required for patients' visits (90% of day)
-Make over 150 outbound calls per day to insurance companies to get verification and pre certification
-Follow up with patients, insurance companies and managers on status of verification
-Locate, and verify current insurance and demographic information for patient and/or guarantor. Update in system in efforts to support proper bill release
-Document financial and pre-certification information into internal system
-Refer patients to the Financial Counselor to finalize payment for services
-Establishes and maintains proficient level of system knowledge
-Maintain follow-up procedures and working relationships with area responsible for the information, including but not limited to; Medical Records Department, Patient Access, and/or physicians
-Assist with review and follow up of denials and payment discrepancies identified through the denial system
-Follow up with insurance, physicians, and any other area that can validate and assist with actions and information needed in order to properly review, dispute or appealing denial
-Follow up with submitted appeals until a determination is made
-Document all follow up activity in denial system for tracking and reviewing purposes
-Identify trends of denails, provide documentation and offer suggestions for process improvement
-Ensure compliance with all state and federal billing regulations and report any suspected compliance issues to Management
-Completes tasks and assignments in a timely manner. Utilizes time in a constructive manner. Able to act independently when necessary
-Works in conjunction with Utilization Review department
-Needs to be familiar with Medical software program (Medisoft, EPIC, internal hospital billing systems, Microsoft Office, etc.)

About Aerotek:

Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.