RCM Verification Specialist

POSITION PURPOSE:

The Verifications Specialist serves as a subject matter expert on all insurance verifications for their assigned region on the RCM Verifications team. The primary duties of the position include completing insurance verifications requests, performing audits for vendors and partnering with practices for additional verification assistance or inquiries, as needed.

PRINCIPAL RESPONSIBILITIES AND DUTIES:
? Knowledgeable in all aspects of insurance verification for assigned region, such as payer mix and fee schedules.
? Performs a minimum of 20 insurance verification requests daily with at least 96% accuracy.
? Trains on all subjects of the RCM Verification Training Manual and follows the manual consistently.
? Performs weekly audits for vendor partners.
? Assists with educating new and existing employees about RCM department standards, verification workflow, and performance expectations.
? Interacts with partner practices and vendors to identify areas of opportunity and readily offer solutions.
? Maintains confidentiality with a strict adherence to all HIPPA policies.
? Performs additional duties as assigned by manager or director.

BASIC KNOWLEDGE & COMPETENCIES:
? Ability to manage multiple priorities and meet deadlines in a high-paced environment with the potential of frequent interruptions
? Excellent verbal and written communication skills
? Demonstrates self-awareness with exceptional human relations skills
? Exhibits great attention to detail, with an acute ability for problem solving.
? Action oriented with a strategic mindset

PREVIOUS EXPERIENCE/EDUCATION:
? High School Diploma, GED or equivalent required
? 1+ years experience in a medical and/or dental environment preferred
? A minimum of 1 years experience in customer service required. Previous experience in a medical and/or dental environment preferred.

PHYSICAL REQUIREMENTS: ? While performing the duties of this job, the employee is regularly required to sit for prolonged periods. Occasional lifting and bending to carry boxes and supplies, up to 25 pounds, may be required.

ABOUT US ORAL SURGERY MANAGEMENT

By joining US Oral Surgery Management (USOSM), you become part of a dynamic and forward-thinking organization made up of best-in-class Oral and Maxillofacial practices. Together, we have the POWER to achieve more, by creating a positive impact on the communities we serve and reinforcing our position as a top leader in the industry. We believe in the POWER of teamwork, where every member contributes to our collective success. Whether you're in clinical operations, administration, support services, etc., your role is crucial to achieving our shared mission: fueling innovation and clinical excellence, while driving worthwhile outcomes for our practices.

Our POWER Values form the foundation of our ability to deliver exceptional healthcare experiences and achieve sustainable growth.

Passion for Patient Care

Outstanding Results

Winning Attitude

Embracing Continuous Improvement

Respect for Self and Others

Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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