Description

Insurance Verification Specialist 

Summary/Overview

The Insurance Verification Specialist is responsible for verifying patient demographics and obtaining, confirming, documenting, and attaching insurance to encounters for billing. Reporting directly to the Revenue Cycle Manager, the Insurance Verification Specialist will assist with revenue and billing operations within their scope.

Responsibilities

• Verify patient’s insurance coverage through multiple online tools/portals
• Attach insurance information to unbilled claims and rebill claims that may have gone out to the wrong insurance.
• Follow up on required face sheets when systems do not provide
• Work denials related to wrong insurance billed or coverage terminated.
• Reach out to facilities for patient related documents / information.

Education & Experience

• High School Diploma or equivalent
• 1 year experience in an admissions or billing setting

Knowledge, Skills, and Abilities:

• Knowledge of Medicare, Medicaid and Managed Care billing guidelines
• Experience with Insurance verification systems (ex. Navinet, Inovalon, Medicaid portals)
• Detail-oriented, problem solver/analytical, flexible, and self-motivated
• Proficiency with Microsoft (Outlook, Office Word, and Excel)
• Organized, ability to multi-task in a fast-paced environment
• Works well independently and in a team setting
• Ability to type 45+ words per minute

Job Type: Full-time

Schedule:

• Day shift
• Monday to Friday

Work Location: Hybrid

Healing Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.