Insurance Verification Specialist (2495)
About The Position
Verifies patient insurance coverage for therapy services and effectively documents benefit information. Subject matter expert in completing the prior authorization process and pre-determination with insurance companies. Able to answer patient questions regarding financial obligations. Oversees charge reconciliation to ensure billing accuracy. Services on the internal denials team and actively researches causes/trends for therapy denials. Works closely with the billing office and coding team to adjust past claims related to coding issues. Reviews relevant data for each of the therapy departments and generates daily, weekly, and monthly reports. Assists with workflow management as it elates to scheduling/chart organization/insurance verification. Communicates effectively with office staff and therapists regarding insurance issues/concerns. Fills in for front office stations in the event of staff shortages.
Requirements
- High school graduate or equivalent.
- Prior experience in a medical setting is required.
- Experience with insurance preferred.
- Ability to communicate in English, both verbally and in writing.
- Excellent interpersonal skills.
- Excel spreadsheet/data analysis skills are required.
- Ability to type 40 words per minute.
Nice To Haves
- Additional languages preferred.
- Meditech experience is preferred.
- Knowledge of medical terminology is preferred, especially ICD-10 and CPT codes.
Responsibilities
- Verifies patient insurance coverage for therapy services and effectively documents benefit information.
- Completes the prior authorization process and pre-determination with insurance companies.
- Answers patient questions regarding financial obligations.
- Oversees charge reconciliation to ensure billing accuracy.
- Services on the internal denials team and actively researches causes/trends for therapy denials.
- Works closely with the billing office and coding team to adjust past claims related to coding issues.
- Reviews relevant data for each of the therapy departments and generates daily, weekly, and monthly reports.
- Assists with workflow management as it elates to scheduling/chart organization/insurance verification.
- Communicates effectively with office staff and therapists regarding insurance issues/concerns.
- Fills in for front office stations in the event of staff shortages.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
