Insurance Verification Specialist

The primary function of the Insurance Verification Specialist is to contact insurance carrier groups to obtain eligibility information and to ensure the most updated verification is entered into the practice management software. Develops and maintains effective relationships with the patients ensuring all patient demographic and insurance information is obtained.

Role and Responsibilities
• Responsible for effective and efficient verification of all patient benefits before their appointment.
• Updating patient information/keeping records
• Filling out documentation required for billing.
• Responsible for answering incoming calls from other providers, recipients, and insurance carrier groups in relation to insurance coverage.
• Research eligibility information online for various insurance carriers.
• Responsible for obtaining all referrals and authorizations for procedures and services, as required.
• Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
• Other duties as assigned by the Billing Manager.

Preferred Skills
• Have multi-tasking skills.
• Clear communication skills
• Detail-oriented focus
• Organizational Skills
• Computer Skills

Legal
• Maintain patient and company confidentiality.
• Practice within the scope of education, training, and personal capabilities.
• Document company documents (hard copy and electronic) accurately.
• Use appropriate guidelines for releasing information.
• Maintain awareness of federal and state health care legislation and regulations, HIPAA.

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