Insurance Verification Specialist

GI Care For Kids•Atlanta, GA

About The Position

The Insurance verification specialist is responsible for obtaining insurance information for all scheduled patients. The Insurance verifier, is also responsible for ensuring the most accurate and up-to-date insurance information is maintained. This position also coordinates with other departments within the practice to ensure accurate and most up-to-date insurance information is obtained. Essential Duties Re-verify insurance information currently in the system to determine active coverage. Verify insurance information for each scheduled patient by using the EPIC verification feature as well as insurance provider websites. Prioritize incoming insurance verification requests according to urgency (e.g. patient in the office at the front desk). Contact patients to discuss insurance changes and updates based on verification information obtained. Communicate self-pay policy and out-of-pocket expense to patients with no insurance, and insurance out of network. Remain 72 hours ahead in verification of scheduled appointments. Notify the infusion authorization team on infusion patients with any new/updated insurance, immediately after verification is completed. Check appointments daily to ensure verification is completed for all patients added to the schedule with the 72-hour window. · Update accounts with the most accurate and up-to-date insurance information, including specialist copays. Address any and all issues and discrepancies relating to insurance coverage. Communicate professionally with staff and patients. Communicate with scheduling and front desk regarding insurance related issues related directly to this process. Communicate any Medicaid patients maxed out on yearly office visits to the responsible billing team member. Ensure accurate insurance data is entered on the account. Ensure the most updated primary and secondary coverage status is appearing on the account in registration. Update any account with missing primary and secondary coverage status. Respond to all insurance related questions, and inquires. Responds to all emails, staff messages and voicemails within a 24hr time period.

Requirements

High School Diploma, or equivalent.
Excellent organizational skills.
Strong analytical skills.
Customer service oriented.
Detailed-oriented.
Effective team player.
Productive, dependable, and ability to work independently.
Excellent verbal and written skills.
Strong time management skills.
Works well in an environment with firm deadlines; results oriented.
Perform multiple tasks effectively.

Nice To Haves

Experience working with insurance provider portals and Availity is a plus.
Working knowledge of medical billing systems, particularly Epic is a plus.

Responsibilities

Re-verify insurance information currently in the system to determine active coverage.
Verify insurance information for each scheduled patient by using the EPIC verification feature as well as insurance provider websites.
Prioritize incoming insurance verification requests according to urgency (e.g. patient in the office at the front desk).
Contact patients to discuss insurance changes and updates based on verification information obtained.
Communicate self-pay policy and out-of-pocket expense to patients with no insurance, and insurance out of network.
Remain 72 hours ahead in verification of scheduled appointments.
Notify the infusion authorization team on infusion patients with any new/updated insurance, immediately after verification is completed.
Check appointments daily to ensure verification is completed for all patients added to the schedule with the 72-hour window.
Update accounts with the most accurate and up-to-date insurance information, including specialist copays.
Address any and all issues and discrepancies relating to insurance coverage.
Communicate professionally with staff and patients.
Communicate with scheduling and front desk regarding insurance related issues related directly to this process.
Communicate any Medicaid patients maxed out on yearly office visits to the responsible billing team member.
Ensure accurate insurance data is entered on the account.
Ensure the most updated primary and secondary coverage status is appearing on the account in registration.
Update any account with missing primary and secondary coverage status.
Respond to all insurance related questions, and inquires.
Responds to all emails, staff messages and voicemails within a 24hr time period.