Insurance Verification Specialist

Novant Health•Charlotte, NC

4d•Onsite

About The Position

The Insurance Verification Specialist is responsible for verifying patient insurance coverage, obtaining required authorizations, and supporting hospice operations by ensuring accurate and timely processing of Medicaid, Medicare, and private insurance information. This role requires strong organizational skills, attention to detail, and the ability to manage multiple work queues while providing excellent communication and administrative support.

Requirements

High School Diploma or GED, required.
Minimum one year in patient access, registration, billing, insurance and/or pre-certification, any call center or customer service experience, required.
Excellent interpersonal and communication skills, experience and competency in customer relation skills in a professional environment.
Ability to organize and prioritize work in a stressful environment.
Ability to work effectively/productively as a member of a team and is self-directed in a remote work environment in various types of environments (e.g. onsite corporate locations, remote/home office).
Good problem solving skills.
Basic medical terminology.
Exemplary keyboarding skills and experience in patient registration systems (i.e. Epic) and familiarity with personal computers.
Ability to perform several tasks simultaneously.
Ability to drive/travel to multiple locations/facilities as needed.
Ability to understand how job performance affects the outcomes of key performance indicators such as denials and write-offs.

Nice To Haves

2 Year / Associate Degree, preferred
Experience with insurance carriers or third party administrators is, preferred.

Responsibilities

Verify patient insurance eligibility, benefits, and coverage accuracy
Obtain and track insurance authorizations as required
Manage and prioritize work queues to ensure timely processing of tasks
Support hospice operations by coordinating insurance-related workflows
Process and manage Medicaid and Medicare enrollment and billing requirements
Complete and submit Notices of Election (NOEs) and ensure compliance with all deadlines
Receive and respond to incoming phone calls in a professional and courteous manner
Handle patient and provider referrals, ensuring accurate documentation and follow-up
Communicate with insurance companies, patients, and internal staff regarding coverage and authorization issues
Maintain accurate and up-to-date records in electronic systems
Perform other duties as assigned to support departmental and organizational needs