Insurance Verification Specialist

Insurance Verification Specialist

TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketing, Billing, IT, HR, and Finance to three chiropractic brands, operating under the names of Chiro One, MyoCore, and CORE Health Centers. Medulla is comprised of 830+ employees, with corporate headquarters in Oak Brook, IL and 150+ clinic locations in Illinois, Indiana, Wisconsin, Missouri, Kansas, Kentucky, West Virginia, Texas, Oregon, Washington, and Alaska.

Our vision is to inspire and empower people in our communities to heal, live and function better.

Job Description

Perform quality assurance review/analysis on individual insurance policy benefits prior to insurance verifications being released to clinical teams

Document and leverage insurance policy coverage patterns to create templates and job aids for verification team

Review patient accounts against verified insurance benefits to ensure accurate coverage

Work collaboratively with other teams in the department to ensure a seamless patient financial lifecycle

Maintain a strong working knowledge of the clinical patient financial lifecycle and intersections between clinical and revenue cycle processes

Maintain proficiency in insurance verifications forms, protocols, procedures, websites and proprietary software

Act as a customer service resource and liaison for clinical teams in need of guidance and explanation on patient insurance benefits and financials

Perform insurance verification phone calls and web-portal tasks as needed

Participate cross-functionally with pre-certification tasks as needed

Notify management of any strange scenarios, possible compliance concerns or recurring issues

Maintain a positive and professional work environment

Qualifications

2+ years of insurance verifications experience

Strong knowledge of insurance benefits and insurance terminology

Exceptional verbal and written communication

Strong attention to detail and organization skills

Solution-oriented approach to problem-solving

Proficiency in Microsoft Office

Additional Information

All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.

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