Insurance Verification Specialist

Overview

The purpose of this position is to complete eligibility and benefit verification to ensure the timely and accurate submission of claims (i.e. insurance companies, Medicare and Medicaid, employers, individuals, etc.) for health services provided by the company.

• High School Diploma or GED, required
• Two years insurance verification experience, required
• Expert knowledge of various payers and payer insurance cards, required
• Knowledge of Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
• Position requires fluency in English; written and oral communication

• Complete daily eligibility and benefit verification for all facilities utilizing best practice processes
• Document benefits on the patient account for use by other team members
• After eligibility completion, prepare accounts for billing
• Review and correct all claim rejections regarding eligibility
• Review exception and discharge not final bill reports for outstanding MVA and WC information
• Complete verification of insurance as patients provide updates to Customer Service or via mail
• Follow-up and investigate any billing errors returned from payers. Work with respective team members/supervisors for resolution.
• Review and update demographic/guarantor/insurance data obtained in the registration process as necessary
• Additional billing type functions as assigned