Insurance Verification Specialist

TEKsystems•Baltimore, MD

2d•$18 - $23•Onsite

About The Position

You will be verifying insurance coverage and benefits utilizing all available verification and eligibility tools and calls payers to collect more information. You will also obtains the necessary referral, authorization, or pre-certification prior to services being provided as required by the payer. Also will be obtaining patient information to facilitate the verification of the unique patient identifiers for clinical purposes, billing and collections process. Will also be estimating self-pay portions after benefits have been determined (deductibles, co-pays, non-covered services). Responsible for the accurate, complete, and timely capture and data entry of patients’ demographic, financial, and clinical information into the various information systems including pre-registration and/or scanning information systems.

Requirements

2 or more years of insurance verification, authorization experience, anything related to that experience that has dealt with that role would be a plus
High School Diploma or GED required.
2+ years related experience in a benefits/referral coordinator/insurance verification/authorization job/AR/medical billing in healthcare/hospital setting
Must be familiar with all payors and payor portals
Must have STRONG Computer skills

Nice To Haves

EPIC is also a plus but not a requirement!
Bilingual ENLISH/SPANISH would be a huge PLUS
IDEAL TO HAVE EPIC as they will be pulling data from EPIC

Responsibilities

Verifying insurance coverage and benefits utilizing all available verification and eligibility tools
Calling payers to collect more information
Obtaining necessary referral, authorization, or pre-certification prior to services
Obtaining patient information to facilitate the verification of the unique patient identifiers for clinical purposes, billing and collections process
Estimating self-pay portions after benefits have been determined (deductibles, co-pays, non-covered services)
Responsible for the accurate, complete, and timely capture and data entry of patients’ demographic, financial, and clinical information into the various information systems including pre-registration and/or scanning information systems.