Insurance Verification Representative - Remote
Job Purpose The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems Duties and Responsibilities
- Utilize payer web portals to obtain patients current insurance information and update the information in the client system
- Verify insurance information against patient's insurance cards scanned in client system and ensure the correct and most up to date information is on the patient's account
- Once updates are entered in client system, follow procedure on filing the claims
- Comment all actions taken in internal and client host system
- Work independently from assigned work queues
- Meets and maintains daily productivity/quality standards established in departmental policies
- Adheres to the policies and procedures established for the client/team
- Communicate effectively with leadership
- Maintain a professional attitude
- Other duties as assigned by the management team
- Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- High school diploma or equivalent required
- Insurance Verification knowledge helpful
- Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred
- Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere
- Ability to work well individually and in a team environment
- Strong organizational and task prioritization skills
- Proficiency with MS Office. Must have basic Excel skillset
- Strong communication skills/oral and written
- Strong organizational skills
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
- Work Environment: The noise level in the work environment is usually minimal.