Benefit Verification Specialist - DFW

Job Description

Job Description

Step into a role where your attention to detail and people skills truly make a difference! As a Benefits Verification Specialist, you’ll be at the heart of the patient experience keeping everything running smoothly behind the scenes while delivering exceptional service on the front lines. In this dynamic position, you’ll handle essential day-to-day administrative functions such as patient registration, insurance verification, prior authorizations, and managing key tasks like scanning, faxing, and financial reconciliation of deductibles, copayments, and coinsurance. You’ll also be the friendly voice patients and families rely on, answering incoming calls and coordinating information with professionalism and care. If you thrive in a fast-paced environment, value teamwork, and take pride in maintaining confidentiality while creating a positive experience for everyone you interact with, this role is your opportunity to shine.

ESSENTIAL JOB RESPONSIBILITIES:
• Confirms insurance eligibility and referral requirements and secures signatures on required forms, including but not limited to, Financial Policy, Consent for Treatment, HIPAA, etc.
• Ensures that all required referrals are secured and attached to the applicable appointment in the Practice Management system.
• Scans and indexes patient documents.
• Explains financial requirements to the patients or responsible parties and collects deductible, copayments/co-insurance and balances due as required.
• Conduct pre-visit chart preparation, precertification and fax duties as assigned.
• Responsible for providing complex benefits review for single visits and extended episodes of care. Reviews benefits to ensure that organization and patient understand the extent of coverage for services.
• Provides combined cost estimates for facility and professional services. Accurately utilizes cost estimate technology to create cost estimates for services and communicates estimated costs to patients and other affected parties.
• Provide financial counseling and billing information/options to patients.
• Responsible for reviewing account details for patient education and/or correction:
o Reviews balances and communicates to patient and other affected parties about outstanding balances.
o Assists patients in resolving account questions and concerns.
o Correctly identifies and advises patient on options to resolve bad debt balances.
o Advises patient about financial and special entitlement programs (such as charity programs, drug assistance programs, and other patient assistance options).
• Reviews all credit balances to accurately quote patient responsibility.
• Follows all clinic policies on safety and security; maintains restricted areas by safeguarding keyless entry codes and computer system passwords in strict confidentiality.
• Performs, organizes, and streamlines operational tasks to reduce the potential for errors.
• Maintains accuracy and productivity levels as established by department standards.
• Maintains patient safety and confidentiality at all times.
• Travels as required.
• All other duties as assigned by Practice Administrator or department supervisor.

WORK EXPERIENCE
• Minimum 1-3 years of relevant medical office experience preferred. Preference given to those with Urology experience.

SKILLS
• Standard operation of office equipment including computers, fax machines, copiers, printers, telephones, etc…
• Ability to work in a fast-paced environment and provide exceptional customer service and phone etiquette.
• Ability to maintain effective and organized systems to ensure timely patient flow.
• Working knowledge of medical terminology, CPT-9 and ICD-10 coding and familiarity proficiency in insurance knowledge including verifications.
• Computer proficiency and prior experience with Electronic Medical Records preferred.

PHYSICAL REQUIREMENTS
• Computer entry requiring dexterity.
• Adequate physical ability including bending and lifting up to 50 pounds and sufficient manual dexterity to perform the requisite healthcare services.

EDUCATION
• High school diploma or GED; some college preferred.