Insurance Verification Specialist

About the position

Summit Spine and Joint Centers is seeking an experienced Insurance Verification Specialist to join our rapidly growing team in Lawrenceville, GA. As the fastest growing Pain Management Clinic in Georgia, we are expanding our reach with 12 ambulatory surgery centers and 23 clinic locations. Our goal is to become the largest comprehensive spine and joint care provider in the state, and we need a motivated and hard-working individual to help us achieve this vision. In this role, you will be responsible for verifying insurance eligibility for upcoming patient appointments. This will involve utilizing online resources and directly contacting insurance carriers to ensure that patients have the necessary coverage. You will also review patient deductibles and copays, entering this information into our billing system and spreadsheets for the front-end department across all locations. Coordination with the front-end staff will be essential, particularly in addressing scheduling errors and assisting with the understanding of carrier websites and eligibility verification. Your daily tasks will include performing verifications of active insurance coverage and specialist benefits for both follow-up and new patient visits. You will input patient responsibilities into our Electronic Medical Records (EMR) system for reference by front desk staff and provide back-end assistance with any changes in patient insurance. Additionally, you will be the point of contact for answering questions from patients, clerical staff, and insurance companies, addressing any insurance-related concerns, and explaining specialist visit benefits to patients. Maintaining accurate patient demographic information and data collection systems will also be part of your responsibilities, along with obtaining Primary Care Physician (PCP) referrals when required by insurance for specialist treatment. This position requires a self-motivated individual who can multi-task and prioritize work effectively in a fast-paced, team-oriented environment.

Responsibilities
? Verify insurance eligibility for upcoming appointments by utilizing online websites or by contacting the carriers directly.
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? Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the front end department at all locations.
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? Coordinate with front end regarding scheduling errors.
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? Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
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? Perform daily verification of active insurance coverage and specialist benefits for follow-up office visits and new patient visits.
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? Input patient responsibility for follow-up and new patient appointments into EMR for reference by front desk staff.
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? Provide back end assistance with verification of patient insurance changes.
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? Answer questions from patients, clerical staff and insurance companies.
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? Address insurance-related patient concerns.
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? Explain specialist visit benefits to patients.
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? Maintain patient demographic information and data collection systems.
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? Obtain PCP referrals from patients if required by insurance for specialist treatment.

Requirements
? Minimum of 2 years experience in a medical office performing insurance verifications required.
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? Experience using eClinicalWorks preferred.
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? Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.

Nice-to-haves

Benefits
? 401(k)
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? Health insurance

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