Insurance Verification Specialist
About The Position
The Insurance Verification Specialist supports financial clearance through the accurate and timely verification of insurance and benefit information for patients at Altru Health System. The role is also responsible for obtaining and verifying current subscriber information and ensuring referral requirements are secure prior to service resulting in accurate claims and a smooth experience for patients. This position serves as a point of contact for peers in resolving questions or issues related to insurance to improve patient satisfaction and reduce registration and COB denials stemming from front-end activities.
Requirements
- A minimum of 1 year Related Experience
- This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Nice To Haves
- Associates - Healthcare
Responsibilities
- Ensures and adheres to strict confidentiality when handling patient charts, records, and registration information.
- Utilizes online systems, phone communication, and other resources to determine eligibility and benefits prior to the date of service.
- Accurately identifies and assigns payer plans in the electronic medical record and notifies appropriate leaders of potential payer or RTE discrepancies in the system.
- Reviews Medicare accounts for completed and accurate Medicare Secondary Payer Questionnaire (MSPQ) to ensure correct filing order for the visit.
- Communicates with patients, clinicians, front-end staff, and translators to obtain any necessary additional or missing insurance or referral information.
- Coordinates benefits by effectively determining primary and secondary liability when needed.
- Alerts physician offices and patients to issues with verifying insurance or meeting referral requirements.
- Holds proficient understanding of insurance terminology.
- Assists in training new insurance verification staff and front-end staff on insurance verification processes.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
Benefits
- Altru offers a comprehensive benefits package to its full- and part-time employees.
- Excellent benefits include a health plan and 401(k) retirement plan.
- Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
