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)
Job duties include:
-screening referred self-pay patients for programs such as Medicare, Medicaid, Medicaid for nursing home placement, Crime Victims, vocational rehabilitation, QMB, SSI, and any/all other third party coverage including other available local, state, and federal programs in addition to the hospital’s financial assistance program
-providing point of service collections for self-pay patients, patients who have balances after insurance or Medicare payments, and patients that do not qualify for any programs/coverage.
Minimum qualifications:
-at least 1 year of healthcare experience
-proficiency in Microsoft Word and Excel
-meet productivity standards ( there is a potential quarterly bonus structure in place for high performers )
-comply with hospital policies
- Bilingual in Spanish is preferred and additional compensation added
Prior experience in collections and knowledge of HIPAA,EMTALA, and PHI are a plus.
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0 Insurance Verification Specialist jobs found in Dothan, AL area