Insurance Verification Specialist

Job Description

Job Description

Job Summary:  

Responsible for obtaining insurance benefits for patients; calculate amount due on day of surgery, send letters regarding costs to patients and call per protocols.

Education and Experience:

• High school diploma or equivalent.
• Two years minimum experience in customer service
• Healthcare billing representative or medical receptionist experience a plus. If you do not have this experience, please note in your cover letter why you are interested in this field.
• Excellent communication skills, written and oral.
• Mathematical and analytical problem-solving ability.
• Type 40+ WPM.
• Strong computer skills.
• Well-organized with attention to detail.
• Excellent follow-up skills.
• Ability to manage multiple tasks simultaneously.
• Ability to work as a team player.

Primary Responsibilities

• Review plan for upcoming surgeries to determine upgrades, analyze insurance benefits to determine patient cost prior to care, and additional assignments as determined by Billing Manager.
• Notify patients of their estimated out of pocket cost at least two weeks prior to surgery to ensure prompt payment on the day of surgery.
• Ensure necessary information is transmitted to the front office including patient responsibilities for dates of service in both practice and ASC regarding co-pays and outstanding balances.
• Run schedules and create fee slips for both offices.
• Edit and confirm all insurance card information into the system prior to claims submission.
• Prepare and enter all facility surgery sheets for Nonpractice surgeons.
• Take billing calls from patients.
• Solve revenue cycle issues related to both the practice and outpatient facility.
• Perform other duties, as required.
• Work on insurance denials and appeals.
• Collect patient payment or set-up payment plans for patients.
• Cover other positions in the billing department when necessary.
• Secondary Responsibilities

• Perform other duties, as required.
• Set-up payment plans for patients.

• 
  Cover other positions in billing during vacation time.

Security Clearance: Intermediate