Insurance Verification Specialist

Job description

Overview The Insurance Verification Specialist I (IVS I) will obtain, clarify, and confirm outpatient benefits, ensuring maximum and prompt payment of services rendered by the referral source and KKI triage staff. This professional will provide excellent customer service to patients/families, health insurance representatives, internal/external providers, clinics, and other Institute staff. Responsibilities: 1. Verifies insurance coverage and benefits utilizing all available verification and eligibility tools and calls payers when needed. Documents all ascertained information into the registration system. 2. Verifies and/or obtains the necessary referral, authorization, or pre-certification prior to services being provided as required by the payer. 3. Obtains the patient’s information to facilitate the verification of the unique patient identifiers for clinical purposes, billing and collections process, and compliance with state and federal regulatory requirements.4. Estimate self-pay portions after benefits have been determined (deductibles, co-pays, non-covered services).5. Documents and follows up on efforts to promote team and clinic awareness.6. Collects up-to-date demographic...