Insurance Verification Specialist

Washington Gastroenterology believes that digestive health is the foundation for a healthy life. We are committed to improving the quality of life and longevity of our patients and our communities through the prevention, detection, and treatment of gastrointestinal diseases.

We are WAGI

WAGI is seeking a full-time Insurance Verification Specialist to join our Scheduling Team. The Insurance Verification Specialist supports Schedulers with review of insurance eligibility.

• Utilizing daily appointment report, verifies eligibility for all patients scheduled within the given time frame
• Verifies insurance information using internet-based eligibility systems and/or insurance websites
• Responds to insurance benefit inquires from staff, physicians, and referring provider offices in a professional and courteous manner
• Contacts patient, primary care physician or insurance company as necessary to ensure all patient insurance eligibility and benefits are verified
• Observes patient confidentiality as part of HIPAA regulations
• Review and prepare monthly recalls letters to be sent to the patient
• Monitors changing insurance information and takes appropriate action to maintain requirements
• Other duties as assigned as assigned

• High school graduate or GED required
• One (1) year experience working in a call center, administrative, customer service, or similar role preferred
• Previous experience with insurance verification preferred

• Excellent verbal and written communication skills
• Ability to multitask in a fast paced environment
• Ability to interpret explanation of benefits, knowledge of COB rules
• Basic MS Office skills required (Word, Excel and Outlook)
• Ability to work effectively with co-workers as a team member is required
• Ability to follow oral and written instructions required
• Ability to work independently with minimal supervision

• Prolonged periods of sitting/stationary work and performing administrative duties including the use of computers and phones
• Ability to bend, twist, stoop, and reach, rarely
• Able to lift and carry supplies and equipment as needed (up to 25pounds)

This team primarily works remotely from home with training conducted onsite in Tacoma, WA. Candidates must reside and work in Washington State and due to unique city ordinances that impact employers, WAGI does not allow anyone to work remotely from Seattle, WA. The following conditions must be met for interested candidates in their remote location:

• Minimum internet connection requirements and surge protection in your home
• A home work environment that allows you to work free from distractions and sources of background noise and free of potential hazards including tripping hazards, electrical hazards, etc.
• Ability to secure and protect WAGI supplied computer, phone, and systems and ensure protection of Personal Health Information (PHI)
• Though this position provides the benefit of telework, it does follow a standard schedule based on the hours of operation

Employees (and their families) who work full time (defined as working 30 or more hours per week) will be eligible for medical, dental, vision, long-term disability, accidental death and dismemberment, and basic life insurance
. In addition employees are able to enroll in our company’s 401(k) plan which includes a company provided safe harbor contribution of 3% of annual earnings and the potential for a company discretionary profit sharing contribution.

All employees will be eligible to accrue PTO at a rate of .04 hours per payroll hour (1.6 hours for a 40 hour week) which can be used for and exceeds the required mandatory WA State and other local ordinances. In addition, full time employees will be eligible for a Vacation accrual with a maximum annual accrual of 77 hours as a new hire.

WAGI has 8 standard Holidays each year for which full time employees are eligible to receive paid holiday. In addition, full time employees will be given 1 Float Holiday each year that they can schedule.

This is an hourly position and the anticipated Compensation range is $18.06 – $22.31. The hired applicant is also eligible for annual discretionary bonuses.

Equal Opportunity Employer, including disabled and veterans.