Insurance Verifier
About The Position
We are seeking a dedicated Insurance Verifier to join our team. This position services patient needs by verifying insurance coverage. Performs administrative activities associated with maintenance of medical documentation and medical records. In the State of NY this position pays between $18/hr - $23/hr depending on related experience. (Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.)
Requirements
- High school diploma or GED equivalent, required
- Accurately perform simple mathematical calculations
- Effectively communicate in English; both oral and written
- Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
- Maintain confidentiality, discretion and caution when handling sensitive information
- Multi-task along with attention to detail
- Self-motivation, organized, time-management and deductive problem solving skills
- Work independently and as part of a team
- Email transmission and communication
- Internet navigation and research
- Microsoft applications; Word and Excel
- Office equipment; fax machine, copier, printer, phone and computer and/or tablet
Nice To Haves
- One year experience in a professional setting, preferably healthcare
- Familiarity with medical terminology and insurances HCPCS/ICD-I O codes
- Familiarity with Medicare, Medicaid and/or private insurance guidelines or policies
Responsibilities
- Answers questions from customers, clerical staff, insurance companies, and physician offices
- Assures member's insurance policies (past and present) are accurately reflected in the AS400
- Demonstrates knowledge of insurance plan guidelines and the use of electronic systems for verification purposes
- Explains and collects co-pays, deductibles and other patient balances when needed
- Identifies and resolved patient complaints
- Makes patients fully aware of financial obligations and eligibility for programs that may provide financial aid
- Provide patient education regarding third-party coverage and liabilities
- Reviews and approves documentation received by third parties, for submission to payer's for reimbursement of orders shipped
- Updates tracking system with accurate and relevant information
- Uses electronic systems and payer websites for verification of insurance, authorizations, and referrals
- Verify customer benefits via phone, fax, and/or web portal
- Performs other duties as assigned
Benefits
- Generous paid time off and paid holidays
- Overtime pay for non-exempt positions (as applicable)
- Commission for Account Executives
- Bonus and incentive opportunities
- Fixed and variable car reimbursement for Area Managers and Account Executives
- Car, mileage, and telephone reimbursement (as applicable)
- Employee discount and recognition programs
- Employee Assistance Program (EAP)
- 401(k), HSA, and FSA/Dependent Care FSA
- Medical, prescription, dental, and vision coverage
- Life insurance, disability, accidental death, identity protection, and legal services
- Meru Health mental health and Mercer SmartConnect Medicare programs
- Livongo Diabetes and High Blood Pressure programs
- Healthcare Bluebook and RX Savings Solutions programs
- Hepatitis B (HEPB) and TB vaccinations
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
