Verification Specialist - Skilled in portals, EMR?/EHR systems

Position: Insurance Verification Specialist - Skilled in insurance portals, EMR/EHR systems
Location: Georgia Center

Brunt Work | Full time: 35 paid hours per week or more
? Job Category:
Human Resources and Recruitment
? Work Timezone:
Georgia, US (EST)
? Work Schedule:

Fixed Schedule
? Job Type: Full time
? Date Opened: 01/20/2025
? Remote Job
? Industry: Other
Job Description

This is a remote position.

Schedule:

40 hours per week
Mon - Fri 8 AM- 5 PM Georgia, US Time (8 PM to 5 AM PHT) includes 1h unpaid break.

Job Summary:
The Insurance Verification Specialist is responsible for ensuring the accuracy and completeness of insurance coverage information for patients. This role plays a vital part in the revenue cycle process by verifying benefits, securing authorizations, and resolving coverage issues to facilitate timely payment for services rendered.

Key Responsibilities:

Insurance Verification:
? Confirm patient insurance eligibility and benefits through online portals, phone calls, or electronic systems.
? Identify coverage limitations, deductibles, co-pays, and out-of-pocket responsibilities.

Authorization Management:
? Obtain pre-certifications and prior authorizations for scheduled procedures or treatments.
? Track and follow up on pending authorizations to avoid delays in patient care.
? Inform patients of their insurance coverage, out-of-pocket costs, and any issues with their policy.
? Address patient inquiries regarding insurance verification in a professional and empathetic manner.

Documentation and Records:
? Accurately input verified insurance information into the patient management system.
? Maintain detailed records of verification and authorization activities.
? Work closely with clinical, billing, and scheduling teams to resolve discrepancies or coverage issues.
? Liaise with insurance companies to clarify coverage details and resolve conflicts.

Compliance:
? Ensure adherence to HIPAA regulations and company policies when handling sensitive patient information.
? Stay updated on changes in insurance policies and guidelines.

Qualifications: ? Education: High school diploma or equivalent; post-secondary education in healthcare administration is a plus.

Experience:
? Previous experience in insurance verification, billing, or a related healthcare field preferred.
? Familiarity with medical terminology and coding (CPT, ICD-10) is advantageous.

Skills:
? Strong attention to detail and accuracy.
? Excellent communication and interpersonal skills.
? Proficiency in using insurance portals, EMR/EHR systems, and Microsoft Office Suite.
? Ability to work in a fast-paced environment and manage multiple tasks.
? Problem-solving and critical-thinking skills.
? Time management and organizational skills.
? Team-oriented mindset with a customer-focused approach.
#J-18808-Ljbffr

Apply Job!

For more such jobs please click here!