Insurance Verification Specialist

Jacksonville Children's Multispecialty Clinic; Polska; Sur place; PLN 42 000 - 70 000; Plein temps

Avantages offerts par ce poste

Life Insurance

Paid Time Off

Long Term Disability

401K Plan

Résumé du poste

Ultipro is seeking a focused RCM Insurance Verification Specialist to support patient billing operations. You will verify insurance eligibility, enter accurate carrier details, and communicate financial responsibilities to patients in a confidential healthcare setting.

Responsibilities include updating records, logging errors, and collaborating with the PSR team to ensure clean billing and smooth check-in processes. Prior experience in medical offices is preferred.

Qualifications

• Minimum of 1 year working in a medical office.
• Medical Billing experience preferred.
• Must be comfortable asking for payment.
• Must have outstanding phone etiquette and attention to detail.

Responsabilités

• Verify insurance eligibility for upcoming appointments using EMR, online portals, or contact carriers directly.
• Enter and update insurance details in patient accounts, including plan name, effective dates, copays and deductibles.
• Explain financial responsibilities to patients and coordinate with staff on scheduling errors.
• Log errors in the Eligibility Error Spreadsheet and update appointment details for PSR review.
• Maintain confidentiality in accordance with HIPAA guidelines and assist in SOP development for key areas.

Connaissances

Medical Billing

Phone etiquette

Attention to detail

Outils

EMR systems

Spreadsheets

Description du poste

RCM INSURANCE VERIFICATION SPECIALIST performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with others in a team environment.

Essential Functions:

• Maintains patient demographic information and verifies, enters or updates insurance information for new patients and existing patients to include copays and deductibles
• Verify insurance eligibility for upcoming appointments by utilizing EMR, online websites or by contacting the carriers directly.
• Explain financial responsibilities to patients.
• Coordinate with staff and management regarding scheduling errors. Update the error spreadsheet daily.
• Enter insurance effective dates and/or authorization details.
• Participates in development of organization procedures and update of forms and manuals.
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

Process:

• Check assigned locations daily and confirm eligibility, copay, and outstanding balance for every scheduled patient.
• Enter and update carrier details in the insurance section of the patient account to include plan name, effective dates, co-pays and deductibles.
• Flag and address potential errors. All errors should be logged onto the Eligibility Error Spreadsheet
• Add copay and outstanding collection notes in the appointment details for the PSR to see and address during the check in process.
• If further action is needed, due to portal downtime or insurance errors, enter notes into the appointment details for the PSR to see.
• Maintain regular verification management at least two days ahead of schedule
• Attempt to collect outstanding balances and/or work with RCM management to assist with questions

Qualifications:

• Minimum of 1 year working in a medical office.
• Medical Billing experience preferred.
• Must be comfortable asking for payment.
• Must have outstanding phone etiquette and attention to detail.
• Life Insurance
• Paid Time Off
• Long Term Disability
• 401K Plan

Job Type: Full-time

Equal Opportunity Employer
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