Insurance Verification Representative

The Medical Insurance Verification Rep performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. This is a full-time position with a Monday- Friday schedule.

Our ideal teammate:

• Is a self-directed learner who is willing to apply direct feedback and continuously and humbly self-assess in order to grow personally and professionally. 
• Will work under general guidance with some expectation of autonomy.
• Has excellent verbal and written communication skills and strong attention to detail.
• Has the ability to prioritize tasks and to delegate them when appropriate.
• Acts with integrity, professionalism, and confidentiality.

Essential Functions

• Follows up on accounts that require further evaluation.
• Maintains patient demographic information and data collection systems. 
• Verify insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly. 
• Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the front end department at all locations. 
• Coordinate with front end regarding scheduling errors. 
• Assist front end staff and call center staff in understanding carrier websites and verification of eligibility. 
• Enter insurance referrals as needed. 
• Participates in development of organization procedures and update of forms and manuals. 
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing. 
• Performs miscellaneous job-related duties as assigned. 
• Participates in educational activities and attends monthly staff meetings.
•  Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. 
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

 Qualifications/Skills

• Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.
• Strong knowledge of administrative and clerical procedures.
• Proficient in computers and relevant software applications and practice management technology.
• Possession of strong problem solving skills and sound judgment. 
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
• Knowledge of customer service principles and practices. 
• Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly. 
• Ability to be proactive and take initiative. 
• Exhibit high level of quality through attention to detail and monitoring of work. 
• Possession of strong organizational skills. 
•  Excellent verbal and written communication, as well as exceptional interpersonal communication skills. 

What We Offer

• Immediately accrue PTO as you work! (Full Time)
• 6 Observed Holidays
• Medical, Dental, Vision, Life and other voluntary insurances for full-time employees
• 401(k) Retirement plan  
• Employee Assistance Program

Work schedule:

Full-time, Monday - Friday 9am-5:30pm