Insurance Verification Specialist
Company: Synerfac
Location: Wilmington
Posted on: January 27, 2023
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Job Description:
POSITION SUMMARY: INSURANCE VERIFICATION SPECIALISTPerforms
clerical functions for patient billing, including verification of
insurance information and resolution of problems to ensure a clean
billing process. Follows up on accounts that require further
evaluation. Works with others in a team environment. PRINCIPAL
DUTIES AND RESPONSIBILITIES: 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.QUALIFICATIONS & SKILLS: Minimum of 1
year of relevant experience and/or training, or equivalent
combination of education and experience. Basic Life Support
Certification required. Strong knowledge of administrative and
clerical procedures. Proficient in computers and relevant software
applications and practice management technology. Possession of
strong problem-solving skills and sound judgment. Ability to
collaborate across departments and build effective relationships
with internal and external customers to achieve goals. Knowledge of
customer service principles and practices. Ability to achieve team
goals while demonstrating organizational values and utilizing
resources responsibly. Ability to be proactive and take initiative.
Exhibit high level of quality through attention to detail and
monitoring of work. Possession of strong organizational skills.
Excellent verbal and written communication, as well as exceptional
interpersonal communication skills. JOB TITLE: INSURANCE
VERIFICATION SPECIALIST Ability to work independently on assigned
tasks, as well as to accept direction on given assignments. Deals
with confidential information and/or issues using discretion and
judgment. PREFERRED EXPERIENCE: Prior Insurance Verification
experience in a medical office. Customer service. SUPERVISION
EXERCISED: This position has no supervisory responsibilities. WORK
ENVIROMENT & PHYSICAL DEMANDS: Work is performed in an office
setting. Physical demands of position: sitting, standing, walking,
typing, phone communication, face to face conversation.
Keywords: Synerfac, Wilmington , Insurance Verification Specialist, Other , Wilmington, Delaware
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