Insurance Verification Specialist I

University of Arkansas•Little Rock, AR

13h•Onsite

About The Position

The Insurance Verification Specialist I is responsible for verifying insurance benefits, processing authorizations and pre-certifications, and working appropriate registration and billing work queues. The patient representative is expected to demonstrate competency in the job elements. This role involves conducting verification of eligibility and benefits for patient insurance, completing authorizations and pre-certifications, tracking pre-authorizations, and maintaining referrals. The specialist will enter benefit and authorization information into EPIC, initiate peer-to-peer submissions, and work closely with clinical counterparts to collect requested information. Additionally, they will obtain and coordinate the completion of out-of-network waivers and coordinate with the UAMS Office of Financial Clearance when appropriate. The role also requires working effectively in a team environment, coordinating workflows, and dealing with conflicts professionally. Compliance with safety principles, laws, regulations, and standards associated with CMS, Joint Commission, EMTALA, and OSHA is expected. The position also includes other duties as assigned.

Requirements

High school graduate, GED, or formal education equivalent.
Excellent organizational Skills
Interpersonal skills
Decision-making skills
Must maintain confidentiality and HIPAA compliance.
Highly motivated and self-directed individual to establish plans of action.
Highly proficient in computer and keyboard skills.
Four (4) years of experience in customer service, call center, business office administration, registration, billing, insurance, or scheduling.

Nice To Haves

Experience working in a healthcare environment.

Responsibilities

Conducts verification of eligibility and benefits for patient insurance.
Completes authorizations and pre-certifications, tracks pre-authorizations and maintains referrals.
Enters benefit and authorization information into EPIC.
Initiates peer-to-peer submissions and works closely with clinical counterparts to collect requested information.
Obtains and coordinates completion of out of network waivers.
Coordinates with UAMS Office of Financial Clearance when appropriate.
Work effectively in a team environment, coordinating workflows with other team members and ensuring a productive and efficient environment.
Deals with conflicts in a positive and professional manner using careful listening and negotiation skills to resolve disagreements.
Comply with safety principles, laws, regulations, and standards associated with, but not limited to CMS, Joint Commission, EMTALA, and OSHA.
Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization.
Other duties as assigned.