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!