Position: Insurance Verification Specialist
Tools and Software: Tverify, NextGen (EHR) and Intermedia
Preferred method of communication: Slack
Time Zone: MST
Shift: 8 AM - 5 PM
Responsibilities:
- Creating company systems/workflows
- Make sure projects and tasks are complete
- Contact insurance companies to verify the patient’s coverage before the patient’s scheduled visit
- Evaluate the accuracy and completion of verified information
- Coordinate with the front-office staff to prioritize verifying a New Patient’s insurance and the same-day-visit patients
- Obtain/verify prior authorizations for patient admission and treatments.
- Make sure procedure codes are covered and authorized by the insurance
- Update patient information in your system/ EHR
- Add comments to the scheduler (high deductible, non-covered codes & services, etc)
- Verify the provider’s network participating status on the patient’s insurance company
- Assist with other administrative tasks as needed
- Assist with patient return phone calls and scheduling after authorizations are confirmed
- Updating & maintaining the referral list (intended to capture every referral source for the practice)
- Other billing support tasks as needed
- Adhere to HIPAA guidelines
Requirements:
- Excellent communication skill
- Confident / Brief and Concise when speaking with staff members and patients
- Familiar with different Software Programs
- Proficient with the tools stated above
- MUST have experience as Insurance Verifications Specialist
- A work area where there is minimal to no background noise or distractions
Job Type: Full-time
Salary: Php40,000.00 - Php50,000.00 per month
Schedule:
- 8 hour shift
- Evening shift
- Holidays
- Monday to Friday
- Night shift
Experience:
- Insurance Verification Specialist: 1 year (Required)
