Insurance Verification Specialist

EmergiconTerrell, TX
22h

About The Position

The Insurance Verification Specialist is responsible for ensuring accurate patient demographic and insurance information is reported in each claim. ESSENTIAL DUTIES AND RESPONSIBILITIES · Request hospital face sheet/demographics to obtain payer/demographic information · Verify payer information and select/add appropriate payer information on all transports · Check appropriate insurance websites and/or contact the patient on all private pay accounts prior to billing · Review PCR or face sheets for missing insurance and other pertinent information in relation to billing · Work and resolve any claim for which a denial was received · Follow up on rejected claims · Work returned mail · Other job-related duties as assigned

Requirements

  • High School diploma or GED
  • Minimum of one year of experience in insurance verification or related billing role.
  • Minimum of one year of experience in data entry or administrative work within a healthcare or billing environment.
  • Strong computer skills with the ability to research and verify information
  • Problem solving mindset
  • Well organized and detail oriented
  • Professional phone skills
  • Ability to handle multiple tasks and to prioritize their importance
  • Maintain any certification applicable to job functions

Responsibilities

  • Request hospital face sheet/demographics to obtain payer/demographic information
  • Verify payer information and select/add appropriate payer information on all transports
  • Check appropriate insurance websites and/or contact the patient on all private pay accounts prior to billing
  • Review PCR or face sheets for missing insurance and other pertinent information in relation to billing
  • Work and resolve any claim for which a denial was received
  • Follow up on rejected claims
  • Work returned mail
  • Other job-related duties as assigned
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