Insurance Verification Specialist is responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Being an Insurance Verification Specialist interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. May require a bachelor's degree in area of specialty. Additionally, Insurance Verification Specialist typically reports to a supervisor or manager. To be an Insurance Verification Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)
Description
JOB SUMMARY:
The Insurance Verification Specialist is responsible for clerical functions that include verification of insurance information, calculating estimated patient portions due for rendered services, and resolution of insurance problems for all patients scheduled for services. The Insurance Verification Specialist will work within the policies and processes as they are being performed across the entire organization.
QUALIFICATIONS:
Requirements
DUTIES AND RESPONSIBILITIES:
WORK RELATIONSHIPS:
Direct Supervision: Director of Patient Access
WORKING CONDITIONS:
Environmental Conditions:
Physical Conditions:
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