Insurance Verification Specialist jobs in Grand Rapids, MI

Job Title: Insurance Verification Specialist

Department: Alliance PTP Corporate

Location: Grand Rapids, MI - Hybrid

Status: Full-time: 8am to 5pm

Company Overview

Alliance Physical Therapy Partners is a national therapy provider, providing unmatched treatment and care to patients across multiple service lines. Alliance views every patient and employee interaction as an opportunity to help that person reach their goals and provides world-class resources to assist all individuals in achieving those goals. With a focus on personal and professional growth, Alliance is seeking employees who have a vision for success.

Job Summary

Individual is responsible for verification of the patient’s insurance coverage via the patient’s insurance company.  This position requires strong organizational skills and clear and concise communication with an emphasis on quality assurance.  An interaction will be necessary to communicate with the Front Office Coordinator and insurance companies on a daily basis.  Coordinating the insurance verification process, implementation of information received into the patient’s chart within our EMR system is necessary.

Responsibilities and Duties

• Contact the insurance company to verify primary and secondary insurance coverage as well as tertiary (if received) for both In Network and/or Out of Network Physical Therapy benefit coverage.
• Providing clear and concise communication on the Insurance Verification form with benefit information as well as descriptive communication entered clearly into our EMR system within a patient’s chart when a precertification/prior authorization is required by the patient’s insurance/plan.
• Coordinate information from the patient (when necessary), Front Office staff, Clinical staff, Physician’s office, employers, etc., as needed to complete the verification process.
• Resolve all requests and/or errors in a timely fashion
• Support the Front Office Coordinators as requested by Management
• Contacting the patient’s, when necessary and required, with their benefits, providing explanation, as determined by Management
• Ability to work within a high-volume, fast-paced environment, verifying benefits among several states, with an emphasis on quality assurance.  Emphasis on same-day turnaround verification when required
• Maintain friendly and cordial relations with all patients, insurance representatives and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with patients, co-workers and managers
• Build and maintain confidence and credibility with all patients, insurance representatives and employees
• Adhere to the Core Values of the Company

Qualifications and Skills

• High School Diploma or GED required; Associates Degree or college level business courses preferred.
• Two previous years’ experience in a medical office, medical billing, or other related business where strong communication, organization, and follow-through skills were required.
• Ability to communicate effectively and professionally with a wide variety of people
• Strong organizational skills with attention to detail and accuracy
• Basic computer skills
• Working knowledge of medical terminology and are familiar with insurance and hospital billing policies and procedures.
• Demonstrates continued interest in self-development and the development of the staff