Insurance Verification Specialist

Gastrosav; Savannah (GA); On-site; USD 38,000 - 56,000; Full time

Job summary

Gastroenterology Consultants of Savannah PC is seeking an Insurance Verification Specialist to review daily schedules, verify insurance eligibility, and ensure referrals are in place while complying with healthcare regulations. Education required is a High School Diploma with preferred experience in a multi-provider or specialty practice.

Knowledge of medical terminology and EHR systems is a plus, and confidentiality is essential in this role.

Qualifications

• High School Diploma required.
• Experience in multi-provider or specialty practice preferred.
• Knowledge of medical terminology and insurance processes.
• Ability to maintain confidentiality.

Responsibilities

• Review each day’s schedule to verify insurance eligibility and referral requirements.
• Maintain HIPAA compliance and confidentiality standards.
• Contact insurance companies for network participation and patient benefits.
• Update patient demographics and ensure timely internal tasks and communications.
• Use Klara texting service for patient communications as needed.
• Maintain good communication with patients, coworkers, and supervisors.

Skills

Written and verbal communication

Basic computer skills

Organizational skills

Education

High School Diploma

Tools

EHR systems

Job description

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Job Title: Insurance Verification Specialist

Immediate Supervisor Title: Billing Supervisor

General Summary: Review each day’s schedule and verify insurance, updating patient and insurance demographics, and ensuring any necessary referrals are in place while following healthcare regulations.

• Review current day’s schedule to ensure there are no add ons or any unresolved eligibility issues.
• The eligibility goal is to stay five days ahead of the current business day
• Update or correct any insurances that run inactive or unverifiable in the system.
• Update or correct patient demographics when needed.
• Verify all Tricare Prime and UHC Medicare Dual Complete HMO plans have active referral on file.
• Complete any internal tasks, emails, and voicemails in a timely manner.
• Contact insurance companies, via phone or portal, for network participation and/or patient specific benefits
• Utilize our patient communication texting service, Klara, as needed
• Maintain HIPAA compliance and confidentiality standards
• Ensure office policies and procedures are followed
• Maintain good communication with patients, coworkers, and supervisors

Education: High School Diploma

Experience: Experience in multi-provider or specialty practice is preferred

Performance Requirements:

Knowledge:

• Knowledge of medical terminology and insurance processes
• Experience with Electronic Health Records (EHR) systems

Skills:

• Written and verbal communication skills.
• Basic computer skills.
• Organizational skills

Abilities:

• Ability to maintain confidentiality
• Problem solving abilities

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment: Position is in a well-lit office environment.

Mental/Physical Requirements: Involves sitting approximately 90 percent of the day, walking or standing the remainder.