Insurance Verification Specialist

Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the state of Georgia while providing clinical, surgical, and imaging services to our patients. We are seeking qualified individuals to join our team and provide exceptional patient care!


Job Description Summary:

Under general supervision of a licensed provider, as an Insurance Verification Specialist one must be detail oriented with excellent phone call diction, and outstanding customer service skills. We are seeking motivated individuals who can problem-solve and multitask as we are a fast-paced practice. Gain skill and knowledge of organization policies and procedures in support of the department.


This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Insurance Manager. This position's primary location will be at the Administrative Building in Lawrenceville, GA.


Responsibilities:

• Verify insurance eligibility for upcoming appointments by utilizing online websites or by contacting the carriers directly.
• Review patient deductibles and/or copays and enter the billing system and spreadsheets provided to the front-end department at all locations.
• Coordinate with front end regarding scheduling errors.
• Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
• Perform daily verification of active insurance coverage and specialist benefits for follow-up office visits and new patient visits
• Input patient responsibility for follow-up and new patient appointments into EMR for reference by front desk staff
• Provide back-end assistance with verification of patient insurance changes
• Answers questions from patients, clerical staff and insurance companies. Address insurance-related patient concerns. Explain specialist visit benefits to patients.
• Maintains patient demographic information and data collection systems.
• Obtain PCP referrals from patients if required by insurance for specialist treatment
• Self-motivated with ability to multi-task and prioritize work in a fast-paced, team environment

Skills And Abilities:

• Must be personable and detail oriented as a representative of the practice while callers rely on proper information
• Excellent verbal and written skills for proper documentation of encounters.
• Bilingual candidates encouraged

Education And Experience:

• Minimum of 2 years' experience in a medical office performing insurance verifications required
• Experience using eClinicalWorks preferred
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.