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Insurance Verification Specialist
Job description
- Must have a great medical insurance background
- Will be performing verification of patients' insurances
- Will be identifying denials and will be corresponding with insurance companies
- Will have to re-verify insurances according to the correct facilities in order to start the correct timing of billing and collections for each facility
- Ensure that they received ALL proper documentation of required authorizations and certifications, including renewals
- Coordinate Benefit Periods for insurance purposes
- Obtaining required referrals and authorizations via phone, fax, on-line, etc
- Review reports daily for patients requiring authorizations, pre-notification, and insurance benefit verification
- Obtaining retro-authorizations or updating existing authorizations in a timely manner
- Data entry in a fast-paced environment with high expectation on accuracy
- Updates the patient account with details of the insurance verification
- Coordinating with patients regarding their insurance benefits
- Notifying the appropriate staff members if treatment or service is denied
- Re-verify patients monthly for active, current insurance
- Assist manager and other staff with account questions when presented