Insurance Verification Specialist
Insurance Verification Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
The Insurance Verification Specialist I (IVS I) will obtain clarify and confirm outpatient benefits ensuring maximum and prompt payment of services rendered by the referral source and KKI triage staff. This professional will provide excellent customer service to patients/families health insurance representatives internal/external providers clinics and other Institute staff.
Responsibilities
- Verifies insurance coverage and benefits utilizing all available verification and eligibility tools and calls payers when needed. Documents all ascertained information into the registration system.
- Verifies and/or obtains the necessary referral authorization or precertification prior to services being provided as required by the payer.
- Obtains the patients information to facilitate the verification of the unique patient identifiers for clinical purposes billing and collections process and compliance with state and federal regulatory requirements.
- Estimate selfpay portions after benefits have been determined (deductibles copays noncovered services).
- Documents and follows up on efforts to promote team and clinic awareness.
- Collects uptodate demographic information from patients and families.
- Maintains regular communication and followup with patients families as well as KKI programs/departments to include: team leaders Patient Accounting Finance etc. Keeps all applicable parties informed of pending referrals authorizations unanticipated delays and/or other potential issues.
- Forwards supporting documentation in a timely manner to Care Centers Patient Accounting and clinical areas where applicable.
- Maintains browser and all IAMS Error Logs in a timely and accurate manner.
- Responsible for the accurate complete and timely capture and data entry of patients demographic financial and clinical information into the various information systems including preregistration and/or scanning information systems.
Qualifications
EDUCATION:
- High School diploma or GED required.
- Associates degree desirable.
EXPERIENCE:
- 1 year of related experience with insurance benefit verification in a healthcare setting required.
- 23 years EPIC experience preferred.
Minimum pay range
Maximum pay range
Required Experience:
Unclear Seniority
Employment Type
Unclear
