Insurance Verification Specialist

Job Description

Job Description

Neville Foot and Ankle Centers is currently seeking an Experienced Insurance Verification Specialist. In this role, you will verify insurance coverage for new patients and referrals, as well as update information for existing patients. Your duties will also involve calling to obtain pre-authorization for services, which requires strong phone communication skills. After verifying coverage, you will help patients understand what their financial responsibilities will be. 

• Eclinical work a PLUS
• Availity a PLUS
• The Insurance Verification Specialist plays a crucial role in the healthcare process by ensuring that patients' insurance information is accurately verified and processed
• This position requires a detail-oriented individual who can navigate complex insurance systems and communicate effectively with both patients and healthcare providers
• The specialist will be responsible for confirming coverage, understanding managed care plans, and ensuring compliance with HIPAA regulations
• Verify patient insurance coverage and benefits prior to appointments or procedures
• Communicate with insurance companies to obtain necessary authorizations and clarify coverage details
• Maintain accurate records of insurance verifications and updates in the medical office system
• Collaborate with medical coding staff to ensure correct coding of services in accordance with ICD-9 standards
• Assist patients in understanding their insurance benefits and any out-of-pocket costs associated with their care
• Ensure compliance with HIPAA regulations regarding patient information confidentiality
• Provide support to the billing department by resolving discrepancies related to insurance claims
• Stay updated on changes in medical terminology, coding practices, and insurance policies

Requirements and Qualifications

• High school diploma or GED certificate

Knowledge of CPT codes and basic medical terminology (preferred)

• Phone communication skills
• Bilingual ability (English/Spanish) a preferred