Insurance Verification Specialist

Job description

Responsible for determining patient’s primary, secondary and tertiary insurance payer; verify patients’ benefits, eligibility, and seek authorization for services by contacting insurance companies; determine patient financial impact, if any, and inform them of any possible financial responsibility. Preferred shift: 9am-6pm EST Monday-Friday: Major Areas of Accountability: - Responsible for the timely verification of medical insurance benefits for new patients, existing patients with changes in insurance, and reactivated patients. - Review and update patient accounts with insurance policy information and process requests accurately. - Notate each account with a clear summary of patient eligibility and insurance benefits received from the carrier. - Call government funded and commercial insurance companies to obtain prior authorizations or referrals. - Determine the correct Coordination of Benefits. - Complete verification requests confirming the correct network status through the company’s contracts with insurance payers to determine member benefit coverage. - Ensure all insurance, demographic and eligibility information is obtained, and entered in the system in an accurate manner....