Insurance Verification Specialist

Insurance Verification Specialist

Highlands Oncology Group

Full-time

3901 Parkway Circle, Springdale, AR 72762

• Full-time

The Patient Access Department is the start of the journey for our patients. As an Insurance Verification Specialist, you help to make sure things get started on the right foot for that journey. Join a world class, inclusive, and diverse team of more than 800 people and help to bring cancer treatment HOME to Northwest Arkansas.

Highlands Oncology began in 1996 with three physicians and a desire to change the face of oncology care in our community. Dr. Malcolm Hayward, Dr. Dan Bradford, and Dr. Thad Beck knew that patients do better at home, in the community where they live and work, and where their support system is already in place. In furthering that goal, Highlands has grown with the region from a single location 26 years ago, to 6 locations in Northwest and Northcentral Arkansas today employing more than 850 diverse team members.

As Northwest Arkansas continues to grow, so must the services and providers available in the region. Highlands Oncology is committed to remaining on the cutting edge to ensure our community has access to the very best cancer care. What we have is something quite unique right here in our own backyard with a caring multidisciplinary team focused on treating patients like family.

The insurance verification specialist is responsible for obtaining verification of all insurance benefits for patients and maintains that information to reflect the most up to date coverage. Performs data entry for new patient accounts and/or existing patient accounts. Works closely with patients, insurance companies, and clinical staff members as needed.

• Accurate verification of all insurance benefits, and entry of new or updated insurance information for all patient accounts.
• Add/Create new accounts as needed in Registration Overlay (G4).
• Enter new patient demographics and maintain existing patient demographic profiles.
• Review schedule for upcoming new patient appointments (e.g., Chest Clinic, PT/OT, etc.).
• Review Assurance Athens tickets in Unity for eligibility errors.
• Review signature expired list daily for required updates as needed.
• Review patient accounts and insurance profiles to guarantee accuracy.
• Work through returned mail and update addresses, if available.
• Work closely with prior authorization coordinators.
• Work closely with surgeon teams to discuss past due balances and capture up-to-date benefit coverage for surgery patients.
• Maintain a professional relationship with physician teams.
• Maintain patient/clinic confidentiality.
• Maintain pleasant/helpful attitude towards patients and staff.
• Perform all related duties as required by Revenue Cycle Manager(s), Business Office Director, CFO, and CEO.

• Minimum 1-2 years experience in Health Insurance Eligibility and Verification. Applications and/or Resumes submitted without this minimum experience requirement will not be accepted or reviewed.
• Knowledge and Understanding of Medicare Secondary Payer Rules.
• Knowledge and Understanding of Coordination of Benefits Rules.
• Strong Knowledge of Health Insurance Terminology, Benefit Details, Summaries of Benefits and Coverage, and Eligibility Determination.
• Proficient in computer skills.
• Communicates clearly and concisely.
• Ability to navigate numerous insurance portals to review benefit coverage details.
• Ability to work in a fast-paced environment.
• Ability to work independently and as part of a team.
• Ability to maintain good working relationships.
• Demonstrates strong attention to detail.
• Strong knowledge of medical terminology.
• Demonstrates professionalism in appearance/dress code.

• High School Diploma or equivalent.
• Minimum of 1-2 years of medical office or hospital experience, preferred.
• Experience in Patient Access roles, or Patient Registration roles preferred.
• Current CHAA Certification preferred.
• Experience with health insurance claims, rejections, and denials preferred.

• Sitting for…