Insurance Verification Specialist

Testsmarter; Lake City (FL); On-site; USD 35,000 - 50,000; Full time

Job summary

Testsmarter is looking for an Insurance Verification Specialist in Lake City, Florida. In this role, you will ensure effective verification of patient benefits, manage patient information, and handle documentation necessary for billing. The specialist will be responsible for communicating with insurance carriers and addressing patient inquiries. Candidates should have experience in insurance verification and a keen attention to detail in maintaining confidentiality and accurate documentation.

Qualifications

• Experience in insurance verification and patient information handling is required.

Responsibilities

• Verify patient benefits before their appointment.
• Update patient information and keep records.
• Handle documentation required for billing.
• Answer calls regarding insurance coverage.
• Research eligibility information online.
• Obtain referrals and authorizations for procedures.
• Resolve patient questions and issues.

Job description

The primary function of the Insurance Verification Specialist is to contact insurance carrier groups to obtain eligibility information and to ensure the most updated verification is entered into the practice management software. Develops and maintains effective relationships with the patients ensuring all patient demographic and insurance information is obtained.

Role and Responsibilities

• Responsible for effective and efficient verification of all patient benefits before their appointment.
• Updating patient information/keeping records
• Filling out documentation required for billing.
• Responsible for answering incoming calls from other providers, recipients, and insurance carrier groups in relation to insurance coverage.
• Research eligibility information online for various insurance carriers.
• Responsible for obtaining all referrals and authorizations for procedures and services, as required.
• Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
• Other duties as assigned by the Billing Manager.

Legal

• Maintain patient and company confidentiality.
• Practice within the scope of education, training, and personal capabilities.
• Document company documents (hard copy and electronic) accurately.
• Use appropriate guidelines for releasing information.
• Maintain awareness of federal and state health care legislation and regulations, HIPAA.