Insurance Verification Specialist

US Oncology Inc.; Eugene (OR); On-site; USD 28,000 - 44,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k)

Job summary

Willamette Valley Cancer Institute is seeking an Insurance Verification Specialist to verify patient benefits with insurers and prepare accurate summaries for scheduling and billing. The role focuses on reviewing demographics and insurance data, loading referrals, and maintaining documentation in a clinic office environment.

Qualifications include a high school diploma or equivalent, at least 2 years in a medical business office, EMR experience, and solid knowledge of medical terminology and

Qualifications

• High school diploma or equivalent.
• Minimum 2+ years of medical business office experience with insurance procedures and patient interaction.
• EMR experience required.
• Solid understanding of medical terminology, medical insurance terms, and estimate of benefits (EOB).
• Strong written and oral communication.
• Proficiency in Outlook, Word, and Excel.

Responsibilities

• Calls insurance companies to verify benefits and complete verification summaries.
• Reviews demographic and insurance information in patient accounts and makes corrections as needed.
• Submitting and loading insurance referrals from a work queue for scheduled patients.
• Notes in each account a brief summary of information received from the insurance company.
• Scans assignment of benefits, verification of benefit information and financial liability and forwards information back to the appropriate office.
• Ensures insurance, demographic, and eligibility data are entered accurately in the system.
• Maintains manuals, logs and other required documentation.
• Protects patient confidentiality and follows clinic policies.
• Covers for and assists with other business office functions as requested.

Skills

Communication skills

EMR experience

Medical terminology

Microsoft Office Suite

Education

High school diploma or equivalent

Job description

Overview

Insurance Verification Specialist

Navigating insurance coverage can add massive stress to the already stressful situation of receiving medical treatments for any type of disease. Our Insurance Verification Specialists help our patients better understand their coverage and what is needed to utilize all of their available benefits. Part of Willamette Valley Cancer Institute’s Revenue Cycle Team, the Insurance Verification Specialist is an integral part of the team that gets a patient ready for their first visit or new treatment protocol.

The general pay scale for this position at WVCI is $20.00 - $32.00 per hour. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity etc.

Employment Type: Full Time, 40hr/week (1.0 FTE)
Benefits: M/D/V, Life Ins., 401(k)
Location: Eugene, OR

Responsibilities

• Calls insurance companies to verify benefits of the patient. Completes insurance verification and summary of reimbursement and liability forms.
• Reviews demographic and insurance information in patient accounts and makes necessary corrections as needed.
• Submitting and loading insurance referrals from a work queue for scheduled patients
• Notes in each account a brief summary of information received from the insurance company.
• Scans assignment of benefits, verification of benefit information and financial liability and forwards completed information back to the appropriate office.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the business office.
• Covers for and assists with other business office functions as requested.

Qualifications

• High school diploma or equivalent required.
• Minimum 2+ year of medical business office experience with insurance procedures and patient interaction.
• Electronic Medical Record (EMR) experience required
• Solid understanding of medical terminology, medical insurance terms, and estimate of benefits (EOB).
• Strong written and oral communication
• Proficiency in Microsoft Office Suite Programs, especially Outlook, Word, and Excel.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposure to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.