Insurance Verification Specialist (IVS)

Central Florida Health Care, Inc.; Winter Haven (FL); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

PTO 4.4 weeks per year pro-rated

Holidays 9.5 paid holidays per year

401k with matching contributions

CME Reimbursement

Long-Term Disability Insurance

401k with matching contributions

Malpractice Insurance

CME Reimbursement

Job summary

Central Florida Health Care, Inc. seeks an Insurance Verification Specialist (IVS) in Winter Haven, FL. The IVS verifies benefits, secures pre-authorizations, and coordinates with insurance companies to ensure patient coverage for services.

The role requires strong problem solving and communication skills, plus familiarity with EHR and billing practices in a FQHC environment. On-site position with competitive benefits and PTO.

Qualifications

• High school graduate or equivalent required.
• 3-4 years’ healthcare insurance verification experience required.
• Knowledge of medical terminology or concepts is required.
• Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is required.

Responsibilities

• Responsible for the Insurance benefits and authorization process.
• Submit Authorization to Insurance companies using Cover my Meds, Availity, and other software.
• Submit additional paperwork to authorize medications or services.
• Identify and update various types of insurance entry information.
• Understand product websites to obtain discounted pharmaceuticals for patients.
• Document patient charts and complete Authorization forms to assist coders.
• Collaborate with the HCA and team to streamline registration and benefits.
• Communicate with insurance companies to verify coverage and authorization needs.
• Maintain professional phone etiquette with providers, staff, and patients.
• Demonstrate strong organization, time management and documentation skills.
• Maintain Company dashboards.

Skills

Insurance verification experience

Medical terminology

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft PowerPoint

Microsoft Excel

Microsoft Outlook

Job description

Position: Insurance Verification Specialist (IVS)

Location: Winter Haven, FL

Job Id: 3327

# of Openings: 1

CENTRAL FLORIDA HEALTH CARE, INC.

POSITION DESCRIPTION

Title: Insurance Verification Specialist (IVS)

Reports to: Director of Revenue Cycle Management

FLSA Status: Non-Exempt

Personnel Supervised: None

POSITION SUMMARY

Under general supervision the IVS is responsible for verifying insurance benefits, obtaining pre-authorization and authorizations for all services rendered by the provider assigned to the team member. Works closely with center leaders, center staff and insurance companies to verify the patient’s individual benefits. Relies on extensive experience of the authorization process, understanding of insurance and ability to work independently in order to meet the goals of the dept.

MINIMAL QUALIFICATIONS

• High school graduate or equivalent required
• 3-4 years’ healthcare insurance verification experience required
• Knowledge of medical terminology or concepts is required
• Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is required

RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS

• Responsible for the Insurance benefits and authorization process.
• Submit Authorization to Insurance companies to include the use of "Cover my Meds" & "Availity" software among others.
• Submit additional paperwork, documentation necessary to Authorize a medication or service.
• Responsible for correctly identifying and updating various types of insurance entry information.
• Understanding of the different product websites in order to get discounted pharmaceuticals for a patient’s benefit.
• Correctly document patient charts and complete the Authorization forms to assist coders in processing claims.
• Work closely with the HCA and other team members in order to make the registration and benefits process seamless.
• The ability to speak with different insurance companies via phone to identify correct coverage, benefit details and authorization needs.
• Proper phone etiquette when speaking with Providers, staff and patients.
• Strong organizational, time management and documentation skills.
• Maintain Company dashboards

KNOWLEDGE OF

• Federal laws and regulations affecting coding requirements
• Electronic Health Records
• Knowledge of billing practices and billing office functions including FQHC environment
• Knowledge of medical records, E H R
• Must have good math skills and effective communication skills
• Must have good problem-solving skills

RESPONSIBILITY, SKILLS, AND DIFFICULTY OF WORK

• Communicating clearly and concisely, orally and in writing
• Confidentiality
• Ability to use the computer
• Ability to work independently to accomplish assigned work in a timely manner
• Ability to communicate with staff and the public, both in person and over the phone, in a tactful manner and under difficult situations
• Understanding and carrying out verbal and written directions
• Follow CFHC policies and procedures
• Ability to work independently

PHYSICAL REQUIREMENTS

• Works under pressure and stress due to the diversity of our clinics
• Work is performed indoors in a heated, air conditioned, well lighted and clean office setting
• Requires ability to distinguish letters, numbers and symbols
• Requires normal range of vision
• Requires awareness of personal limitations and flexibility
• Some emotional stress resulting from diversity and intensity of patients and staff
• Requires prolonged standing or sitting
• Occasional travel required

BENEFITS

Federal Student Loan Forgiveness:

PSLF - 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven

Excellent medical, dental, vision, and pharmacy benefits

Employer Paid Long-Term Disability Insurance

Employer Paid Life Insurance equivalent to 1x your annual salary

Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available

Malpractice Insurance

Paid Time Off (PTO) - 4.4 weeks per year pro-rated

Holidays (9.5 paid holidays per year)

Paid Birthday Holiday

CME Reimbursement

401k Retirement Plan after 1 year of service (w/matching contributions)

Staff productivity is recognized and rewarded

BENEFITS

Competitive Salary Federal Student Loan Forgiveness: PSLF - 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven

Excellent medical, dental, vision, and pharmacy benefits

Employer Paid Long-Term Disability Insurance

Employer Paid Life Insurance equivalent to 1x your annual salary

Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available

Malpractice Insurance

Paid Time Off (PTO) - 4.4 weeks per year pro-rated

Holidays (9.5 paid holidays per year)

Paid Birthday Holiday

CME Reimbursement

401k Retirement Plan after 1 year of service (w/matching contributions)

Staff productivity is recognized and rewarded

PHYSICAL REQUIREMENTS

• Works under pressure and stress due to the diversity of our clinics
• Work is performed indoors in a heated, air conditioned, well lighted and clean office setting
• Requires ability to distinguish letters, numbers and symbols
• Requires normal range of vision
• Requires awareness of personal limitations and flexibility
• Some emotional stress resulting from diversity and intensity of patients and staff
• Requires prolonged standing or sitting

American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.