Insurance Verifications Specialist - Patient Financials

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 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.