Insurance Verification Specialist

Job Summary

Full Time: Mon-Fri 8am - 5pm

Corporate Office - Lutz (In-office position)

The insurance verification specialist ensures that patients’ health care benefits cover required procedures. They contact a patient’s insurance company to verify coverage levels and work with individuals to educate them on their benefits information. This is an in-office, full-time days position.

Administrative

• Verify insurance information for new patients and referrals
• Handle payments for services not covered by insurance
• Update insurance information for existing patients
• Call to obtain pre-authorization for recommended services and procedures
• Explain to patients what their financial responsibilities will be
• Inform relevant clinical staff about denials
• Answer questions related to billing and insurance
• Fill our documentation required for billing

Legal

• Maintains confidentiality and documents accurately
• Uses appropriate guidelines for releasing patient information
• Practices within the scope of education, training and personal capabilities
• Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPPA, and CLIA

Communication

• Recognizes and respects cultural diversity
• Adapts communication to individuals ability to understand
• Uses professional, pleasant telephone technique
• Uses medical terminology appropriately
• Treats all patients with compassion, empathy, and mutual respect
• Works as a team player
• Treats all staff in a professional and respectful manner
• Projects a professional manner and image
• Consistent attendance and punctuality
• Adherence to time clock procedures

Core Competencies

• Efficiency
• Attention to details
• Organized
• Punctual
• Takes initiative/Proactive
• Team Player
• Honesty/Integrity
• Flexible
• Calm under pressure
• “A Doer”/Persistence
• Problem solver/Strategic thinking/Creativity
• Analytical skills
• Clear and concise communication/Listening skills
• Quick Learner/Intelligence
• Follow through on commitments
• Enthusiastic/Friendly/ Positive attitude
• Openness to advice and constructive criticism
• Strong work ethic

High school diploma, AA degree preferred. Insurance Verification experience preferred, Knowledgeable in computer programs and medical terminology, EMR systems, Communication skills, Customer Service, Detail Oriented Focus, Bilingual ability (English/Spanish) a plus