Insurance Verification Specialist

FORTE' SPORTS MEDICINE & ORTHOPEDICS • Carmel, IN

10d • Hybrid

About The Position

An insurance verification specialist is responsible for verifying patients’ insurance coverage, ensuring that claims are processed correctly, and handling insurance-related inquiries. The specialist communicates with insurance companies, patients, and healthcare providers to obtain necessary information and resolve issues related to insurance coverage. This role is primarily remote, with occasional travel to our physical location in Central Indiana, primarily Carmel, for training and staff meetings as needed.

Requirements

• Strong working knowledge of insurance principals and regulations
• Strong knowledge of front medical office, accounting and insurance practices
• Maintain knowledge of current practice information per policy/procedures
• Strong analytical and problem-solving abilities
• Good communication skills both oral and written
• Ability to collaborate with cross-functional teams and work effectively in a collaborative environment
• Precision and accuracy in reviewing documents and patient accounts
• Experience in computer operations
• Ability to maintain composure and professionalism in fast paced situations
• Ability to work independently and collaboratively in fast paced situations
• High School Diploma or equivalent required
• At least two (2) years of related work experience in a medical practice office or comparable healthcare setting.

Nice To Haves

• Associates or Bachelor’s degree in healthcare administration, business administration or related field preferred

Responsibilities

• Verify patient insurance coverage and update records benefit information into the EMR in a timely and accurate manner
• Communicate with insurance companies to obtain benefit information
• Assist patients with insurance-related inquiries and explain coverage details
• Provide support and serve as excellent resource to physicians and staff regarding current insurance policies, benefits and authorization/referral requirements
• Obtains written authorization from insurance of prior authorization approval when necessary
• Maintain excellent working relationship with all physicians, providers, management, insurance carriers, internal departmental and external business staff, consistently demonstrating a high degree of respect and professionalism.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED