Insurance Verification Specialist

Central Florida Health Care•Winter Haven, FL

About The Position

Under general supervision the IVS is responsible for verifying insurance benefits, obtaining pre-authorization and authorizations for all services rendered by the provider assigned to the team member. Works closely with center leaders, center staff and insurance companies to verify the patient’s individual benefits. Relies on extensive experience of the authorization process, understanding of insurance and ability to work independently in order to meet the goals of the dept.

Requirements

High school graduate or equivalent required
3-4 years’ healthcare insurance verification experience required
Knowledge of medical terminology or concepts is required
Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is required
Federal laws and regulations affecting coding requirements
Electronic Health Records
Knowledge of billing practices and billing office functions including FQHC environment
Knowledge of medical records, E H R
Must have good math skills and effective communication skills
Must have good problem-solving skills
Communicating clearly and concisely, orally and in writing
Confidentiality
Ability to use the computer
Ability to work independently to accomplish assigned work in a timely manner
Ability to communicate with staff and the public, both in person and over the phone, in a tactful manner and under difficult situations
Understanding and carrying out verbal and written directions
Follow CFHC policies and procedures
Ability to work independently

Responsibilities

Responsible for the Insurance benefits and authorization process.
Submit Authorization to Insurance companies to include the use of “Cover my Meds” & “Availity” software among others.
Submit additional paperwork, documentation necessary to Authorize a medication or service.
Responsible for correctly identifying and updating various types of insurance entry information.
Understanding of the different product websites to get discounted pharmaceuticals for a patient’s benefit.
Correctly document patient charts and complete the Authorization forms to assist coders in processing claims.
Work closely with the HCA and other team members in order to make the registration and benefits process seamless.
The ability to speak with different insurance companies via phone to identify correct coverage, benefit details and authorization needs.
Proper phone etiquette when speaking with Providers, staff and patients.
Strong organizational, time management and documentation skills.
Maintain Company dashboards

Benefits

Competitive Salary
Federal Student Loan Forgiveness: PSLF – 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) – Employees receive 20 days of PTO + 9.5 Holidays totaling 37.5 days of freedom per year when accounting for adjacent weekends!
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w/matching contributions)
Staff productivity is recognized and rewarded