Insurance Verification Specialist jobs in Rochester, NY
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)
Recently Added Insurance Verification Specialist jobs
- RadNet
-
Fairport, NY
FULL_TIME
-
JOB SUMMARY
The Insurance Verification Representative is responsible for obtaining authorizations for all required exams and document approvals. The person in this position is responsible for obtaining information on the patient's eligibility status with the insurance companies to ensure proper coverage and payment for services. The person in this position works closely with insurance providers and referring physicians' staff to obtain necessary patient history and notes in order to expedite processing.ESSENTIAL DUTIES AND RESPONSIBILITIESRequirements:
- Ensures accurate, timely, and thorough documentation and completion of all necessary paperwork, according to established standards.
- Ensures accurate and timely data entry into the RIS system for each patient, according to established standards.
- Utilizes telephone voice response systems and website solutions to obtain information on patients' eligibility status with insurance companies.
- Works with patients to obtain complete and correct insurance information, discusses eligibility results and alternative payment methods.
- Properly analyzes various payor eligibility responses to find the information needed to complete verifications.
- Obtains and confirms insurance pre-authorizations when necessary.
- Follows all HIPAA, compliance, privacy and confidentiality standards.
- Maintains patient confidentiality at all times.
- Demonstrates professionalism and courtesy to patients, families/guests and other team members.
- Communicates clearly and effectively.
- Communicates with vendors, patients, referring physicians, co-workers and all team members in a courteous and professional manner.
- Provides thorough and accurate information to all callers.
- Maintains self-control when dealing with difficult patients and/or situations. Involves manager or team leader when necessary.
- Maintains insurance verification log of accounts/procedures verified.
- Contacts insurance providers via email or phone to review status of authorizations.
- Works closely with referring physicians' staff to obtain patient notes and begin process of authorizations.
- Scans all completed paperwork into eRad RIS.
- Completes all paperwork in a timely and accurate manner.
- Promotes a positive and supportive relationship with referring community and fellow employees.
- Other duties as assigned.
MINIMUM QUALIFICATIONS, EDUCATION AND EXPERIENCE
- Must have one of the following: a high school diploma or general education degree (GED), one to three months of related experience and/or training, or an equivalent combination of education and experience.
- Possesses and utilizes excellent customer service skills, strong public relations skills, and exceptional written and verbal communications skills.
- Must be detail-oriented and organized, possess clerical skills, and have the ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management.
- Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
- Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
- Attends regular corporate meetings as requested.
- Follows OSHA regulations, RadNet and site protocols, policies and procedures.
- Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.
- Practices universal safety precautions.
- Promotes good public relations on the phone and in person.
- Adapts and is willing to learn new tasks, methods, and systems.
- Reports to work regularly as scheduled; consistently punctual with respect to working hours and lunch schedules, and maintains satisfactory personal attendance in accordance with RadNet guidelines.
- Completes job responsibilities in a quality and timely manner.
Pay Range: $17.00 - $21.00 / hour
We offer career advancement opportunities & benefits including: medical / dental / vision coverage, paid time off, paid holidays, a pre-tax 401k plan, a pre-tax flexible spending plan, education reimbursement, free life insurance, inter-company transfer opportunities, hands-on training, and a host of other perks! Work today, get paid today! We've partnered with DailyPay, a voluntary benefit to offer employees access to their pay on their own schedule.
RadNet is an equal employment opportunity employer and treats all applicants and employees in a fair and non-discriminatory manner without regard to race, color, religion, sex (including pregnancy), gender, gender-identity, national origin, ancestry, genetic information, citizenship, age, mental or physical disability, veteran/military status, qualified disabled veteran, marital/ domestic partnership status, religious creed, medical condition, sexual orientation, political activity, or any other characteristic protected by federal, state or local laws.
- 16 Days Ago
- Erie Insurance
-
Rochester, NY
FULL_TIME
- Division or Field Office: New York Branch Office Department of Position: Claims Department Work from: New York Branch Office Salary Range: $50,789.00 - $81,131.00 * salary range is for this level and ...
- 1 Month Ago
- Mutual of America Life Insurance Company
-
Rochester, NY
FULL_TIME
- Mutual of America Job Title: Retirement Plan Specialist Location: Rochester, NY Who We Are: At Mutual of America Financial Group, we help people build the assets they need to achieve greater financial...
- 28 Days Ago
- American Income Life Insurance Company
-
Rochester, NY
FULL_TIME
- American Income Life is an international Company protecting working families in the United States, Canada, New Zealand, and through our wholly-owned subsidiary, National Income Life Insurance Company ...
- 16 Days Ago
- TruGreen - Lawn Specialist - Rochester, NY
-
Silver Lake, NY
FULL_TIME
- TruGreen is Hiring Residential Lawn SpecialistsImmediate Openings in Rochester, NY At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with Tr...
- 1 Day Ago
- University of Rochester
-
Rochester, NY
FULL_TIME
- Opening Full Time 40 hours Grade 008 Registration & Insurance Mgmt Responsibilities Job Summary This position is a member of a Registration and Insurance Management team which coordinates functions as...
- 13 Days Ago
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0 Insurance Verification Specialist jobs found in Rochester, NY area
- GoTu
-
Rochester, NY
- Pay Range: $40-$70/Hour By using the GoTu app, you can find local temporary and permanent opportunities and get peace of...
- 4/24/2024 12:00:00 AM
- GoTu
-
Rochester, NY
- Pay Range: $40-$70/Hour By using the GoTu app, you can find local temporary and permanent opportunities and get peace of...
- 4/24/2024 12:00:00 AM
- GoTu
-
Rochester, NY
- Pay Range: $45-$70/Hour By using the GoTu app, you can find local temporary and permanent opportunities and get peace of...
- 4/24/2024 12:00:00 AM
- Headway
-
Rochester, NY
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/24/2024 12:00:00 AM
- GoTu
-
Rochester, NY
- Pay Range: $45-$70/Hour By using the GoTu app, you can find local temporary and permanent opportunities and get peace of...
- 4/23/2024 12:00:00 AM
- Headway
-
Rochester, NY
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/23/2024 12:00:00 AM
- Headway
-
Rochester, NY
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/20/2024 12:00:00 AM
- Headway
-
Rochester, NY
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/20/2024 12:00:00 AM
About Rochester, New York
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