Life Insurance Professional

Overview Quad City Gastroenterology has an immediate need for a full time Insurance Verification Specialist!

Welcome to Quad City Gastroenterology

At Quad City Gastroenterology, we believe health and care are inseparable. We focus on offering a high quality, service oriented environment for your surgical procedure. Our facility is accredited by Accreditation Association for Ambulatory Health Care.

Insurance Verification Specialist at Quad City Gastroenterology Work closely with the Revenue Cycle Manager while performing all components of the insurance verification and authorization process for both existing and new patients. Collaborate with staff to ensure smooth operations while delivering excellent customer service.

Essential Duties and Responsibilities Utilize the current system to conduct insurance verification and validate authorizations for scheduled patients, ensuring eligibility and benefits are in order for accurate claim submission and payment.

Use the SSI online eligibility verification system, or contact the payer directly via telephone or website.

Request pre-authorizations for scheduled procedures, urgent procedures, and imaging.

Accurately document account actions related to pre-certification.

Communicate with the Patient Financial Advocate regarding patients\' financial responsibility, ensuring the Front Office can collect payments like copays. Answer non-medical questions and provide routine non-medical instructions.

Have working knowledge of various payer types: commercial, governmental, Medicare, Medicaid, HMOs, etc., Act as the connection between internal and external customers to assist in billing resolution and escalate issues that impact claim submission and payment.

Conduct independent research before seeking management assistance.

Identify billing or payer edit opportunities.

Follow department policies and procedures to meet payer and regulatory requirements, including record retention, privacy, and confidentiality.

Assist management by training, guiding, and supporting other team members in resolving account issues through billing, collection, and denial processing techniques.

Provide feedback to the manager on areas of concern impacting billing or collections accurately and promptly.

Exclude clinical tasks related to patient care, such as assessing medical conditions or providing medical advice or recommendations.

Qualifications High school diploma or equivalent.

1+ year in healthcare customer service, insurance verification, and billing systems (preferred).

Familiarity with Word, Excel, and Outlook is required.

Medical, dental, vision, disability, and life insurance

401k retirement plan

Paid holidays

Health savings accounts, healthcare & dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

Who We Are At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity.