Insurance Verification Specialist

POSITION TITLE: Insurance Verification Specialist
STATUS: Non – Exempt
REPORTS TO: Billing Office Supervisor
DIRECT REPORTS: N/A
ACCOUNTABILITY OBJECTIVE: Provides internal personnel with insurance benefit information. This
position ensures timely verification of insurance benefit information. This position ensures timely
verification of insurance benefits and financial clearance which has a direct impact to the organization’s
reimbursement from payers for patient accounts that are scheduled and unscheduled. Must be able to
communicate with insurance companies and clients from a resolution-based perspective.
KEY RESPONSIBILITIES:
• Verify patient’s insurance coverage and obtain pre-authorization.
• Referral management.
• Answer questions from patients and insurance companies.
• Perform various collection actions such as claim submission, rejections and denials, payment
posting as needed.
• Ensure that all billing is sent/ transmitted, and that payment or reimbursements are received in a
timely manner.
• Participate in educational activities and attend department meetings.
• Understand and adhere to the established office policies and procedures.
• Other job duties as assigned.
QUALIFICATIONS AND SKILLS:
• High School Diploma
• Associates or Bachelor’s Degree (Preferred)
• Up to date on CPR training
• Excellent verbal and written communication skills to include superior interpersonal and patient
contact skills and excellent telephone manners.
• Ability to effectively lead a team
ADDITIONAL EXPERIENCE, NOT REQUIRED:
• At least two (2) years of Management experience
• At least one (2) year of related experience in a Neurological setting
• Ability to communicate effectively and handle multiple priorities
• Strong computer and typing skills.