Insurance Verification Specialist

• Perform quality assurance review/analysis on individual insurance policy benefits prior to insurance verifications being released to clinical teams
• Document and leverage insurance policy coverage patterns to create templates and job aids for verification team
• Review patient accounts against verified insurance benefits to ensure accurate coverage
• Work collaboratively with other teams in the department to ensure a seamless patient financial lifecycle
• Maintain a strong working knowledge of the clinical patient financial lifecycle and intersections between clinical and revenue cycle processes
• Maintain proficiency in insurance verifications forms, protocols, procedures, websites and proprietary software
• Act as a customer service resource and liaison for clinical teams in need of guidance and explanation on patient insurance benefits and financials
• Perform insurance verification phone calls and web-portal tasks as needed
• Participate cross-functionally with pre-certification tasks as needed
• Notify management of any strange scenarios, possible compliance concerns or recurring issues.
• Maintain a positive and professional work environment.
• 2+ years of insurance verifications experience
• Strong knowledge of insurance benefits and insurance terminology
• Exceptional verbal and written communication
• Strong attention to detail and organization skills
• Solution-oriented approach to problem-solving
• Proficiency in Microsoft Office

COMPANY BACKGROUND

TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketing, Billing, IT, HR, and Finance to three chiropractic brands, operating under the names of Chiro One, MyoCore, and CORE Health Centers. Medulla is comprised of 830+ employees, with corporate headquarters in Oak Brook, IL and 150+ clinic locations in Illinois, Indiana, Wisconsin, Missouri, Kansas, Kentucky, West Virginia, Texas, Oregon, Washington, and Alaska.

Our vision is to inspire and empower people in our communities to heal, live and function better.