Job Description

Position Summary: Contact patient insurance plans to verify benefits, obtain authorizations in an efficient and timely manner. Also responsible for contacting patients to obtain the necessary demographic and insurance information to complete the verification process. Works with health insurance providers to determine coverage and benefit limits. Advises patients of procedure costs and alternative sources of funding. Collects co-pays, deductible and other out of pocket amounts at time of visit.

Qualifications/Specifications: Education: High school graduation or equivalent with 2-4 years’ experience in insurance verification preferably in an outpatient or hospital setting.

One year work experience in a medical facility setting. Knowledge of medical terminology a must. Word processing and computer experience.

 

Professional Experience: Prior Verification and Registration experience required; scheduling experience preferred. Medical terminology and typing skills required. Must be literate and competent in the use of a computer, and any online verification of benefits programs. Knowledge of managed care insurance, third party payers, Medicare/Medicaid, verification of benefits, precertification/preauthorization/referrals required.   Ability to prioritize work and work well with others is required. Excellent written and verbal communication skills required. Familiarity or experience with CPT/ICD-9 /ICD-10 coding and medical necessity criteria.