Insurance Verification Specialist

Job description

POSITION SUMMARY: Pay range: $24.02/hr - $33.37hr: The Insurance Verification Specialist is responsible for (but not limited to) verification of all insurance to determine actual benefits of in-patient and outpatient procedural and admitted accounts requiring an extensive knowledge on medical insurance. Notifies all insurance companies of outpatient and inpatient admissions for authorization, audits IP/OP procedural accounts, obtains prior authorizations for facility services that require such. Provides excellent customer service to patient and staff alike. KEY RESPONSIBILITIES: Performed majority of the time: · Obtains needed insurance, health and financial information on patients coming into the hospital. · Updates patient accounts as needed. · Communicates to patient the patient’s financial responsibility as needed. · Obtains and verifies insurance within department standard and ensures proper insurance authorization is obtained. · Responds to voicemail within 24 hrs. · Maintains equipment and reports equipment failures promptly to facilitate repairs. · Refers accounts that do not have insurance to the Financial Counselor. · Addresses Case Management concerns and complaints. · A...