Medical Insurance Verification Specialist
Job Description
Locally owned Farmington, NM Home Health and Hospice agency has an opening for an EXPERIENCED Insurance Verification Specialist.
Insurance Verification Responsibilities Include:
The Insurance Verification Specialist verifies patient insurance information according to established billing policies and in accordance with established work flow.
DAILY
Process all assigned patient insurance verifications to meet all third party and/or company policies.
Researches any issues relating to third party payor information within company computing system and outside resources. Updates patient information within computer system. Reports any findings relating to patient accounts to Director Patient Accounts.
Communicates all information to the branches as needed as well as members of the billing team.
Works cooperatively as a productive member of the corporate billing team.
Works to achieve timely and accurate insurance verification processing through good problem solving, multitasking and organizational skills.
Courteously receives and answers insurance related inquiries through verbal or written correspondence with third party payors and patients.
Uses an organized, efficient system for follow up of outstanding verification/authorization issues.
Contributes to the team by helping with any outstanding issues as needed *
Verifies all insurance intakes through various websites, Medicare system and phone/internet resources. Updates insurances in company computer system.
Runs and verifies any changes to Medicaid, Medicare patient insurance coverage Files all completed verifications in an organized system.
Enters and tracks Hospice Notice of Election.
Demonstrated ability to establish and maintain effective working relationships with supervisors and co-workers
WEEKLY – Re-verify insurances on a pre-determined schedule, ie., monthly, on re-cert or as needed.
Summary
As a Medical Insurance Verification Specialist, you will be essential in ensuring accurate and timely verification of patient insurance information. Reporting to the Billing Manager, you will utilize your core skills in medical terminology, coding, and records management to facilitate the insurance verification process. Your premium skills in managed care and HIPAA compliance will ensure adherence to regulations while maintaining patient confidentiality. Additionally, your organizational skills will be crucial in managing documentation efficiently. Join our team to contribute to the smooth operation of our medical office and enhance patient care through effective insurance management.
Qualifications
Proficient in medical terminology and coding (CPT, ICD-9, ICD-10)
Strong experience in medical records management and insurance verification
Familiarity with managed care and HIPAA regulations
Excellent organizational skills and attention to detail
Prior experience in a medical or dental office setting is preferred
Ability to effectively communicate with patients and insurance providers
Benefits include employer contributed health insurance, dental insurance and employee contributed supplemental insurance. 401k + employer matching.
Paid vacation, paid holidays, paid sick leave.
We are an Equal Opportunity Employer
Job Type: Full-time
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance
Work Location: In person