Insurance Verification Specialist

TVG-Medulla, LLC; Oak Brook (IL); On-site; USD 48,000 - 64,000; Full time

Job summary

TVG-Medulla, LLC is seeking an Insurance Verifications Specialist to support clinical teams by reviewing and validating patient insurance benefits before verifications are released. You will document coverage patterns, assist with templates, and coordinate with cross-functional teams to ensure accurate financial lifecycles.

Proficiency in Microsoft Office and strong communication skills are essential, along with 2+ years of verifications experience.

Qualifications

• 2+ years of insurance verifications experience.
• Strong knowledge of insurance benefits and terminology.
• Exceptional verbal and written communication.
• Strong attention to detail and organization skills.
• Solution-oriented approach to problem-solving.
• Proficiency in Microsoft Office.

Responsibilities

• Perform quality assurance review/analysis on individual insurance policy benefits prior to insurance verifications being released to clinical teams.
• Document and leverage insurance policy coverage patterns to create templates and job aids for verification team.
• Review patient accounts against verified insurance benefits to ensure accurate coverage.
• Work collaboratively with other teams in the department to ensure a seamless patient financial lifecycle.
• Maintain a strong working knowledge of the clinical patient financial lifecycle and intersections between clinical and revenue cycle processes.
• Maintain proficiency in insurance verifications forms, protocols, procedures, websites and proprietary software.
• Act as a customer service resource and liaison for clinical teams in need of guidance and explanation on patient insurance benefits and financials.
• Perform insurance verification phone calls and web-portal tasks as needed.
• Participate cross-functionally with pre-certification tasks as needed.
• Notify management of any strange scenarios, possible compliance concerns or recurring issues.
• Maintain a positive and professional work environment.

Skills

Insurance verifications

Insurance terminology

Verbal communication

Written communication

Detail orientation

Microsoft Office

Tools

Microsoft Office

Job description

TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketing, Billing, IT, HR, and Finance to three chiropractic brands, operating under the names of Chiro One, MyoCore, and CORE Health Centers. Medulla is comprised of 830+ employees, with corporate headquarters in Oak Brook, IL and 150+ clinic locations in Illinois, Indiana, Wisconsin, Missouri, Kansas, Kentucky, West Virginia, Texas, Oregon, Washington, and Alaska.

Our vision is to inspire and empower people in our communities to heal, live and function better.

Job Description

• Perform quality assurance review/analysis on individual insurance policy benefits prior to insurance verifications being released to clinical teams
• Document and leverage insurance policy coverage patterns to create templates and job aids for verification team
• Review patient accounts against verified insurance benefits to ensure accurate coverage
• Work collaboratively with other teams in the department to ensure a seamless patient financial lifecycle
• Maintain a strong working knowledge of the clinical patient financial lifecycle and intersections between clinical and revenue cycle processes
• Maintain proficiency in insurance verifications forms, protocols, procedures, websites and proprietary software
• Act as a customer service resource and liaison for clinical teams in need of guidance and explanation on patient insurance benefits and financials
• Perform insurance verification phone calls and web-portal tasks as needed
• Participate cross-functionally with pre-certification tasks as needed
• Notify management of any strange scenarios, possible compliance concerns or recurring issues.
• Maintain a positive and professional work environment.

Qualifications

• 2+ years of insurance verifications experience
• Strong knowledge of insurance benefits and insurance terminology
• Exceptional verbal and written communication
• Strong attention to detail and organization skills
• Solution-oriented approach to problem-solving
• Proficiency in Microsoft Office

Additional Information

#ZR

Disclaimer:

All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.

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