Insurance Verification Representative

Experience these exceptional benefits when you join Med-Metrix!

• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility

The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems.

Duties and Responsibilities

• Utilize payer web portals to obtain patients current insurance information and update the information in the client system.
• Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account.
• Once updates are entered in client system, follow procedure on filing the claims.
• Comment all actions taken in internal and client host system
• Work independently from assigned work queues
• Meets and maintains daily productivity/quality standards established in departmental policies
• Adheres to the policies and procedures established for the client/team
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Communicate effectively with leadership
• Maintain a professional attitude
• Other duties as assigned by the management team

Qualifications

• Completed at least High School diploma or equivalent.
• Insurance Verification and Prior Authorization experience of at least 1 year, required.
• Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts, preferred.
• Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere.
• Ability to work well individually and in a team environment.
• Strong organizational and task prioritization skills.
• Proficiency with MS Office. Must have basic Excel skillset.
• Strong communication skills/oral and written.
• Strong organizational skills.
• Must be amenable to work during US hours.
• Must be amenable to work onsite.