Insurance Verification Specialist

Ultipro; United States; Remote; USD 32,000 - 56,000; Full time

Benefits offered by this job

Life Insurance

Paid Time Off

Long Term Disability

401K Plan

Job summary

Ultipro is seeking an Insurance Verification Specialist to perform clerical tasks in patient billing, verify insurance information, and resolve issues to maintain a clean billing process. You will follow up on accounts requiring further evaluation and collaborate with a team to ensure accuracy and timely processing.

The role requires handling eligibility checks, updating carrier details, explaining financial responsibilities to patients, and maintaining confidentiality in line with HIPAA

Qualifications

• 1 year minimum in a medical office
• Billing/financial duties experience preferred
• Comfortable requesting payments from patients
• Excellent phone etiquette and attention to detail

Responsibilities

• Verify insurance eligibility for upcoming appointments using EMR or insurer portals
• Enter and update insurance details, copays and deductibles
• Explain financial responsibilities to patients
• Coordinate scheduling and update error logs
• Maintain confidentiality per HIPAA guidelines
• Assist in SOP development and process improvement
• Answer questions from patients and insurance companies
• Work with reception to ensure clean billing
• Log errors in Eligibility Error Spreadsheet
• Process daily verification ahead of schedule

Skills

Medical office experience

Payment collection

Phone etiquette

Tools

EMR

Job description

RCM INSURANCE VERIFICATION SPECIALIST performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with others in a team environment.

Essential Functions:

• Maintains patient demographic information and verifies, enters or updates insurance information for new patients and existing patients to include copays and deductibles
• Verify insurance eligibility for upcoming appointments by utilizing EMR, online websites or by contacting the carriers directly.
• Explain financial responsibilities to patients.
• Coordinate with staff and management regarding scheduling errors. Update the error spreadsheet daily.
• Enter insurance effective dates and/or authorization details.
• Participates in development of organization procedures and update of forms and manuals.
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

Process:

• Check assigned locations daily and confirm eligibility, copay, and outstanding balance for every scheduled patient.
• Enter and update carrier details in the insurance section of the patient account to include plan name, effective dates, co-pays and deductibles.
• Flag and address potential errors. All errors should be logged onto the Eligibility Error Spreadsheet
• Add copay and outstanding collection notes in the appointment details for the PSR to see and address during the check in process.
• If further action is needed, due to portal downtime or insurance errors, enter notes into the appointment details for the PSR to see.
• Maintain regular verification management at least two days ahead of schedule
• Attempt to collect outstanding balances and/or work with RCM management to assist with questions

Qualifications:

• Minimum of 1 year working in a medical office.
• Medical Billing experience preferred.
• Must be comfortable asking for payment.
• Must have outstanding phone etiquette and attention to detail.
• Life Insurance
• Paid Time Off
• Long Term Disability
• 401K Plan

Job Type: Full-time

Equal Opportunity Employer
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