Verification Specialist - Skilled in portals, EMR?/EHR systems
Position: Insurance Verification Specialist - Skilled in insurance portals, EMR/EHR systems
Location: Georgia Center
Brunt Work | Full time: 35 paid hours per week or more
Job Category:
Human Resources and Recruitment
Work Timezone:
Georgia, US (EST)
Work Schedule:
Fixed Schedule
Job Type: Full time
Date Opened: 01/20/2025
Remote Job
Industry: Other
Job Description
This is a remote position.
Schedule:
40 hours per week
Mon - Fri 8 AM- 5 PM Georgia, US Time (8 PM to 5 AM PHT) includes 1h unpaid break.
Job Summary:
The Insurance Verification Specialist is responsible for ensuring the accuracy and completeness of insurance coverage information for patients. This role plays a vital part in the revenue cycle process by verifying benefits, securing authorizations, and resolving coverage issues to facilitate timely payment for services rendered.
Key Responsibilities:
Insurance Verification:
Confirm patient insurance eligibility and benefits through online portals, phone calls, or electronic systems.
Identify coverage limitations, deductibles, co-pays, and out-of-pocket responsibilities.
Authorization Management:
Obtain pre-certifications and prior authorizations for scheduled procedures or treatments.
Track and follow up on pending authorizations to avoid delays in patient care.
Inform patients of their insurance coverage, out-of-pocket costs, and any issues with their policy.
Address patient inquiries regarding insurance verification in a professional and empathetic manner.
Documentation and Records:
Accurately input verified insurance information into the patient management system.
Maintain detailed records of verification and authorization activities.
Work closely with clinical, billing, and scheduling teams to resolve discrepancies or coverage issues.
Liaise with insurance companies to clarify coverage details and resolve conflicts.
Compliance:
Ensure adherence to HIPAA regulations and company policies when handling sensitive patient information.
Stay updated on changes in insurance policies and guidelines.
Qualifications:
Education: High school diploma or equivalent; post-secondary education in healthcare administration is a plus.
Experience:
Previous experience in insurance verification, billing, or a related healthcare field preferred.
Familiarity with medical terminology and coding (CPT, ICD-10) is advantageous.
Skills:
Strong attention to detail and accuracy.
Excellent communication and interpersonal skills.
Proficiency in using insurance portals, EMR/EHR systems, and Microsoft Office Suite.
Ability to work in a fast-paced environment and manage multiple tasks.
Problem-solving and critical-thinking skills.
Time management and organizational skills.
Team-oriented mindset with a customer-focused approach.
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Location: Georgia Center
Brunt Work | Full time: 35 paid hours per week or more
Job Category:
Human Resources and Recruitment
Work Timezone:
Georgia, US (EST)
Work Schedule:
Fixed Schedule
Job Type: Full time
Date Opened: 01/20/2025
Remote Job
Industry: Other
Job Description
This is a remote position.
Schedule:
40 hours per week
Mon - Fri 8 AM- 5 PM Georgia, US Time (8 PM to 5 AM PHT) includes 1h unpaid break.
Job Summary:
The Insurance Verification Specialist is responsible for ensuring the accuracy and completeness of insurance coverage information for patients. This role plays a vital part in the revenue cycle process by verifying benefits, securing authorizations, and resolving coverage issues to facilitate timely payment for services rendered.
Key Responsibilities:
Insurance Verification:
Confirm patient insurance eligibility and benefits through online portals, phone calls, or electronic systems.
Identify coverage limitations, deductibles, co-pays, and out-of-pocket responsibilities.
Authorization Management:
Obtain pre-certifications and prior authorizations for scheduled procedures or treatments.
Track and follow up on pending authorizations to avoid delays in patient care.
Inform patients of their insurance coverage, out-of-pocket costs, and any issues with their policy.
Address patient inquiries regarding insurance verification in a professional and empathetic manner.
Documentation and Records:
Accurately input verified insurance information into the patient management system.
Maintain detailed records of verification and authorization activities.
Work closely with clinical, billing, and scheduling teams to resolve discrepancies or coverage issues.
Liaise with insurance companies to clarify coverage details and resolve conflicts.
Compliance:
Ensure adherence to HIPAA regulations and company policies when handling sensitive patient information.
Stay updated on changes in insurance policies and guidelines.
Qualifications:
Education: High school diploma or equivalent; post-secondary education in healthcare administration is a plus.
Experience:
Previous experience in insurance verification, billing, or a related healthcare field preferred.
Familiarity with medical terminology and coding (CPT, ICD-10) is advantageous.
Skills:
Strong attention to detail and accuracy.
Excellent communication and interpersonal skills.
Proficiency in using insurance portals, EMR/EHR systems, and Microsoft Office Suite.
Ability to work in a fast-paced environment and manage multiple tasks.
Problem-solving and critical-thinking skills.
Time management and organizational skills.
Team-oriented mindset with a customer-focused approach.
#J-18808-Ljbffr
Apply Now