Insurance Verification Specialist III

University of Arkansas•Little Rock, AR

16d•Onsite

About The Position

The Insurance Verification Specialist III is responsible for effective and efficient verification of all patients’ benefits pre-certification and authorization before their appointment. They are responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage & researching eligibility information online with various insurance carriers. This position is responsible for working billing follow up WQs and denials. Responsible for orientation and training of new hires and further/additional training as needed. 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.

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 insurance experience in a healthcare environment.

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.
Works billing follow up WQs and denials.
Responsible for orientation and training of new hires and further/additional training as needed.
Works 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.
Complies 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.