Insurance Verification Representative

Med Metrix•Arlington, VA

About The Position

The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems. Duties and Responsibilities Utilize payer web portals to obtain patients current insurance information and update the information in the client system Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account Once updates are entered in client system, follow procedure on filing the claims Comment all actions taken in internal and client host system Work independently from assigned work queues Meets and maintains daily productivity/quality standards established in departmental policies Adheres to the policies and procedures established for the client/team Communicate effectively with leadership Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Requirements

High school diploma or equivalent required
Insurance Verification knowledge helpful
Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred
Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere
Ability to work well individually and in a team environment
Strong organizational and task prioritization skills
Proficiency in Microsoft Office Suite. Must have basic Excel skillset
Strong communication skills/oral and written
Strong organizational skills Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Responsibilities

Utilize payer web portals to obtain patients current insurance information and update the information in the client system
Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account
Once updates are entered in client system, follow procedure on filing the claims
Comment all actions taken in internal and client host system
Work independently from assigned work queues
Meets and maintains daily productivity/quality standards established in departmental policies
Adheres to the policies and procedures established for the client/team
Communicate effectively with leadership
Maintain a professional attitude
Other duties as assigned by the management team
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties