Insurance Specialist - Insurance Verification

Overview

Insurance Verification Specialist


Navigating insurance coverage can add massive stress to the already stressful situation of receiving medical treatments for any type of disease. Our Insurance Verification Specialists help our patients better understand their coverage and what is needed to utilize all of their available benefits. Part of Willamette Valley Cancer Institute's Revenue Cycle Team, the Insurance Verification Specialist is an integral part of the team that gets a patient ready for their first visit or new treatment protocol.

The general pay scale for this position at WVCI is $20.00 - $32.00. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, etc.

Employment Type: Full Time, 40hr/week (1.0 FTE)
Benefits: M/D/V, Life Ins., 401(k)
Location: Eugene, OR


Responsibilities

• Calls insurance companies to verify benefits of the patient. Completes insurance verification and summary of reimbursement and liability forms.
• Reviews demographic and insurance information in patient accounts and makes necessary corrections as needed.
• Submitting and loading insurance referrals from a work queue for scheduled patients
• Notes in each account a brief summary of information received from the insurance company.
• Scans assignment of benefits, verification of benefit information and financial liability and forwards completed information back to the appropriate office.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the business office.
• Covers for and assists with other business office functions as requested.

Qualifications

• High school diploma or equivalent required.
• Minimum 2+ year of medical business office experience with insurance procedures and patient interaction.
• Electronic Medical Record (EMR) experience required
• Solid understanding of medical terminology, medical insurance terms, and estimate of benefits (EOB).
• Strong written and oral communication
• Proficiency in Microsoft Office Suite Programs, especially Outlook, Word, and Excel.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.