Insurance Verification Representative

JOB SUMMARY:

The Insurance Verification Representative is responsible for confirming the patient’s insurance coverage and verifying that proper insurance authorizations are processed prior to the patient appointments to ensure a smooth and efficient visit.

QUALIFICATIONS/EDUCATION:

• High School Diploma or equivalent required.

• Bi-lingual English/Spanish preferred; must be able to read, write and speak English.

• 1-2 years of related experience in a medical setting preferred.
• Strong people skills.
• Data entry skills.
• Attention to detail.
• Strong organizational skills and ability to multi-task effectively.
• Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties. Internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.

CERTIFICATIONS/LICENSES:

• N/A

ABILITIES/SKILLS:

• Basic computer skills to be able to recognize and understand our EMR System.
• Excellent communication, Customer Service, and telephone skills.
• Strong organizational skills and ability to multi-task effectively.
• Must be able to work independently with minimal supervision in a fast-paced environment.
• Able to respect and maintain patient confidentiality at all times and comply with HIPAA Regulations.
• Must be dependable and conduct him/herself in a professional manner.
• Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties.
• Must be able to follow policies and procedures.

SUPERVISORY RESPONSIBILITIES:

• N/A

ESSENTIAL DUTIES/ RESPONSIBILITIES:

• Responsible for obtaining patient referrals and/or authorizations days prior to the office visit and informing the patient of any deductible or co-pay responsibility.
• Properly registers or updates patients’ insurance information in the EMR.
• Verifies that every patient’s insurance is active and that we are a participating provider.
• Reviews patient deductibles and/or co-pays and updates the patient record.
• Obtains referrals and/or authorization through the insurance portal or by calling the insurance company.
• Assist patients with inquiries or concerns and ensure patients’ expectations are met.
• Works closely with the front desk to ensure clean billing.
• Follows up on callbacks before the end of the day.
• Completes tasks or actions assigned to him/her in a timely manner.
• Ability to answer phones, and schedule/reschedule appointments as needed.
• Conducts all activities in a professional, polite, and courteous manner and abides by company policies and procedures.
• Perform any other duties as assigned by management.

We offer Competitive salaries,

Benefits:

• Health Insurance is covered 100% by the employer.
• Dental Insurance
• Vision Insurance
• Life Insurance
• Paid time off
• 401k
• 401K matching