Role Description The Insurance Verification Representative performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. All employees are expected to exhibit professional, ethical and respectful behavior in accordance with the company’s mission, vision and values.

Qualifications

• High School diploma or equivalent
• Two to four years of experience in the health care industry (preferred)

Requirements

• Maintains patient demographic information and data collection systems.
• Verify insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
• Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the front end department at all locations.
• Coordinate with front end regarding scheduling errors.
• Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
• Enter insurance referrals as needed.
• Participates in development of organization procedures and update of forms and manuals.
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned.
• Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

Benefits

• This is a full time position.
• Days and hours of work are Monday through Friday 8:30 a.m. to 5:30 p.m.
• Remote options available for qualified candidates.
• Moderate to frequent travel required based on the company needs and as job duties demand.

Company Description

This position operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.