Insurance Verification Specialist II (31081)

Position purpose

Verify patient insurance and co-payments prior to office appointments and procedures.

Responsibilities/Duties/Functions/Tasks:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Pre-verify patients seeing treatment for physician consultations and procedures.
• Using various documents, determine if GI Alliance accepts the patient’s insurance.
• Effectively communicate to patients, their financial responsibility (co-pay, deductible expenses etc.) based on their insurance coverage.
• Verify patient insurance by means of phone, fax, and web.
• Enter benefits data for patients accurately in EMR.
• Refer complex issues to the supervisor for review and or action.
• Provide quality service to patients.
• Work on insurance billing projects, as assigned.
• Perform other duties as assigned

Qualifications

Education: High school diploma or equivalent.

Experience: Two (2) to four (4) years of insurance verification experience preferred.

Requirements for Level II Status:

 

• Intermediate experience (4+ years’ experience) and/or acting more independently,
• Takes on some additional duties to assist the office.
• Strong and consistent performer.

Additional Qualifications:

• Understanding of medical terminology and CPT and ICD10 Coding
• Critical thinking

Performance Requirements:

• Excellent communication skills, both written and verbal.
• Proficient technical (computer) skills.
• Ability to multi-task and prioritize.
• Self-motivated with initiative.
• Strong sense of ethics.