Insurance Verification Specialist

Grow Through Life Counseling•San Diego, CA

19h•Hybrid

About The Position

The Insurance Verification Specialist is a vital team member of the Support Team whose responsibilities include accurate and timely submission of claims to insurance companies, collaborating with the clinical team in supporting the billing needs of their clients as well as timely follow-up and correspondence with clients and insurance inquiries. The Specialist will assist in process and procedure improvements to maximize revenues. Other important duties include routine audits and reporting.

Requirements

Exceptional time management and organizational skills with capacity to handle high volumes of detailed work and multi-task
Ability to work independently
Effective communication abilities for phone contacts with insurance payers to resolve issues
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Customer service skills for interacting with patients and insurance representatives in a calm manner regarding payments
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
In addition to these general duties, willingness to perform other duties that fit with your training and background experience or provide further training for new duties
Able to work extended hours as needed
Proficient computer skills in Google Workspace and EHRs
Ability to quickly adapt to and learn new programs, systems, and/or processes
General knowledge of office skills, use of office equipment (copier, laser printers, fax machine, telephones, computers)
Must be able to use initiative and independent judgment within established guidelines
Must possess effective written and oral communication and social skills
Excellent written and verbal skills. Proven ability to correctly use punctuation and grammar
Professional image and demeanor
Being consistent, punctual, and have reliable attendance
Having a strong ability to communicate effectively and work well with others in a collaborative, respectful manner
Able to travel as needed
Minimum physical requirements: able to lift and transport up to 25 pounds

Nice To Haves

Bilingual fluency a plus

Responsibilities

Review and submit completed claims through TherapyNotes
Daily collections of patient responsibility balances
Process incoming ERAs; review each insurance payment for accuracy and compliance with contract
Call insurance companies regarding discrepancies in payment and unpaid claims within a timely manner.
Research and appeal denied claims
Answer patient and insurance communications (telephone, email, snail mail, fax)
Verification of client insurance eligibility/benefits for copays and deductibles
Intermediate between active-duty clients and Tricare to ensure authorizations are received timely and cover scheduled visits
Setting up patient payments and working outstanding accounts
Ensure adherence to all established clinical protocols, procedures, and quality of care standards
Collaborates with other departments within the practice to maintain and provide great client care experience for client(s)
Promote a positive, inclusive, and supportive team culture across all teams, consistently demonstrating professionalism and integrity
Perform additional duties as assigned to support the evolving needs of the region and the practice