Insurance Verification Specialist

Heart & Vascular Partners•Chicago, IL

17h•Remote

About The Position

As the Insurance Verification Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. If you are an organized and detail-oriented individual looking to make a positive impact in a healthcare setting, then this is the perfect role for you!

Requirements

2+ years of benefit verification strongly preferred
3+ years of healthcare front reception billing experience in a fast-paced, customer focused environment a plus
Possess a strong working knowledge of insurance benefits, Managed Care policies
Strong written and verbal communication skills & a team player
Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems
Detail oriented with strong organizational skills
Exemplifies amazing customer service skills and professionalism
Medical terminology
Must be available to work during scheduled work hours, except for lunch and breaks
A Quiet, distraction-free environment
High-speed private internet connection
Respond to all non-urgent calls and emails withing 1 business day
Notify your manager immediately for any technical and/ or access issues that prevent you from completing your work
Notify your manager at least 30 minutes prior to your scheduled start time for any unplanned days off

Responsibilities

Verify patient insurance benefits
Explain insurance coverage and treatment costs and identify the need for any pre-authorizations
Work with payers to obtain pre-authorizations necessary
Advise patients of coverage, limitations and exclusions, co-insurance, deductible, special program requirements
Communicate coverage, via electronic, phone, and in person communications
Determine patient responsibility amounts in advance of the related procedures
Serve as a Patient Advocate for patients when patients have difficulty navigating with their insurance company
Communicate to management about pre-authorization requirements and any update any changes
Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
Respond to a high volume of telephone inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.
Meet positional metrics and benchmarks.
Maintain the highest degree of ethics when handling patient payments and bill processing
Follow all department standard operating procedures carefully and accurately
Other duties as assigned