Insurance Verification Representative

iCare Health Solutions, a VSP Vision™ company; United States; Hybrid; USD 21,000 - 23,000; Full time

Job summary

iCare Health Solutions, a VSP Vision™ company, is seeking an Insurance Verification Specialist to verify patient coverage, obtain carrier authorizations, and document details in the EMR. You will gather information, handle inquiries, and enter codes for accurate insurance billing.

Responsibilities include contacting PCPs for referrals and authorizations, performing timely billing tasks, and communicating with patients about benefits, copays, and balances.

Qualifications

• Customer service experience required.
• Ability to handle multiple tasks in a fast-paced environment.
• Ability to diffuse patient complaints and disagreements.
• Strong communication and interpersonal skills.
• Experience navigating EMR and Outlook preferred.

Responsibilities

• Verify insurance coverage and benefit information with carriers and PCPs.
• Complete billing tasks in a timely manner.
• Call PCPs to obtain referrals and/or authorizations when required.
• Inform patients about their insurance benefits, copays, and deductibles.
• Enter authorization numbers in EMR with correct CPT codes and payer data.
• Follow up with PCPs or insurers for the requested authorization.
• Cancel/reschedule appointments if authorization is not received by the DOS.
• Confirm patient insurance information matches verification data.
• Answer phones promptly and route requests as needed.

Skills

Customer Service

Multitasking

Complaint Handling

Communication Skills

EMR & Outlook

Job description

Verifies patient insurance coverage and benefit information. Obtains authorizations from insurance carriers prior to providing care/treatment to patients. Documents referrals, communications, insurance details, and patient data in the electronic medical record (EMR). Gathers information, handles inquiries, and accurately enters codes for insurance billing purposes.

Job Type

Full-time

Essential Functions

• Verify insurance companies and primary care physicians (PCP) online or over the phone to obtain benefit information
• Complete billing tasks in a timely manner
• Call primary care physicians to obtain referrals and/or authorizations when required
• Inform patients regarding their insurance benefits, copays, deductibles, and self-pay balance due
• Enter the authorization number in EMR with the correct CPT codes, NPI, Tax ID, PCP, and payer information
• Follow up with the PCP or the insurance company for the authorization requested
• Cancel and reschedule the patient’s appointment when the authorization has not arrived prior to the DOS
• Check if the patient’s insurance information is correct and matches the insurance verification, and expire all inactive payers
• Answer phones promptly and courteously; handle requests and inquiries, or route accordingly

Requirements

Job Specifications

Typically has the following skills or abilities:

• Customer Service experience
• Ability to handle multiple tasks simultaneously in a fast-paced environment
• Ability to handle and diffuse patient complaints and disagreements
• Exceptional communication and interpersonal skills
• Experience Navigating Electronic Medical Records And Outlook Preferred

Bilingual in English/Spanish

For roles that are remote (i.e., Work From Home (WFM)) or hybrid (i.e., partial onsite at a VSP location and WFM), must demonstrate a high level of engagement in virtual environments, including maintaining camera presence during meetings to support effective communication and team alignment

Salary Description

$15.00 - $17.50