Insurance Verification Specialist

Insurance Verification Specialist Overview:

Responsible for making sure patients have proper insurance coverage for the services provided by the clinic.

Insurance Verification Specialist Responsibilities and Duties:

• Verifying insurance coverage of each patient on their assigned providers
• Explaining coverages to patients
• Obtaining authorizations for patients when their insurance company requires one
• Filling out documentation required for billing
• Stay update on all accepting insurances
• Monitoring clinic schedules for daily patient additions

EDUCATION:

Must have a High School Diploma or equivalency.

EXPERIENCE:

• Two (2) years’ previous experience in insurance verifications or in a related healthcare administrative position

LICENSES/CERTIFICATIONS:

N/A

SKILLS:

Must have the following skills and/or abilities:

• Able to multitask, prioritize, and manage time efficiently
• Self-motivated and self-directed; able to work without supervision
• Excellent verbal and written communication skills
• Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus
• Strong customer service skills and comfortable answering both patient and insurance company questions
• Able to analyze problems and strategize for better solutions

PHYSICAL ACTIVITIES:

• Constantly stands and sits within a given day while conducting work functions such as providing processing patient records, documenting, cleaning, and interacting with patients and coworkers.
• Constantly using of fingers and hands when typing, using a 10-key number pad, handling pens/pencils, forms/paper, telephone, tools, or other computer or office equipment.
• Frequently lifts, transfers, pushes, or pulls up to 15 lbs. of files, supply boxes, or other small office equipment.
• Hears average or normal conversations and receives ordinary information through verbal communications.
• Average, ordinary visual acuity necessary to utilize the computer or other office machinery, and to read or write instruction manuals or other documents.
• Frequently move about the office which may include climbing stairs, stopping, kneeling, and/or bending.

WORKING CONDITIONS:

Physical therapy office atmosphere located inside a building with no hazardous or significantly unpleasant conditions.

CONCEPTUAL/INTELLECTUAL ACTIVITIES AND OTHER REQUIREMENTS:

• Frequently convey detailed or important instructions or ideas accurately, clearly, and/or quickly.
• Understand, remember, follow, and exchange basic instructions, information, and guidelines.
• Project a courteous, professional and positive demeanor with co-workers.
• Dependable attendance and punctuality are necessary to perform the essential job duties.
• Ability to be professionally polite and helpful to a diverse clientele by presenting a pleasant, calm demeanor even in stressful situations.
• Ability to maintain self-discipline and focus on relevant matters in order to timely complete important tasks.
• Ability to read and comprehend simple instructions, short correspondence, and memos.
• Ability to write simple correspondence and respond clearly to coworkers and supervisors.