Insurance Verification Clerk, Full-Time (Hybrid)

Surgery Partners•Addison, TX

31d•Hybrid

About The Position

The Insurance Verification Clerk is responsible for answering calls, benefits verification, and precertification. Customer service should be provided that meets and exceeds internal and external customer expectations. All staff must practice high standards of performance and always maintain superior customer service for all responsibilities.

Requirements

High school diploma or equivalent
Minimum of 3 years of prior medical experience
Working knowledge of MS Office applications, including Outlook, Word, and Excel
Ability to effectively interface with insurance carriers, Case Management/Utilization Review, Registration, and Business Office staff
Ability to read, write, and comprehend documents, correspondence, and memos
Ability to present information clearly in both one-on-one and group settings to patients, clients, and internal staff
Ability to apply common-sense understanding to follow written, oral, and diagram-based instructions
Strong critical-thinking skills
Effective time-management skills
Proficient PC skills
Epic experience required

Responsibilities

Act as liaison between patients, physician office, and insurance company to assist with regards to financial responsibility and obtaining authorization
Verify patient insurance eligibility and benefits using payer portals and payer representatives to ensure compliance with the facilities policies and procedures
Coordinate with insurance providers and the physician office to obtain pre-authorizations. Document these findings as instructed.
Obtain information for medical necessity determination and coordinate with the physician office if additional information is needed
Communicate with patients to obtain any missing information necessary to achieve financial clearance
Conduct benefit verifications on all new and existing patients when requested
Cross train as required to assist with overflow responsibilities
Exhibit flexibility in work schedules and assigned tasks
Maintain minimal error rate
Maintain productivity as requested by Business Office Director
Maintain supplies and forms necessary to perform duties
Participates in group meetings and /or various committees
Making suggestions on workflow improvements
Notify Supervisor of any issues
Maintain a positive attitude toward position and responsibilities
Other duties as assigned by Supervisor