Verification Specialist (Healthcare Insurance)
Verification Specialist (Healthcare Insurance)
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Position Summary
The Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communication with internal teams and patients verifying insurance benefits and ensuring HIPAA compliance. The position is key to maintaining smooth administrative operations and supporting high-quality patient care.
Essential Duties and Responsibilities
Responsibilities include but are not limited to:
- Confirming and updating patient demographic information (name address date of birth contact details) in electronic records.
- Verifying insurance benefits for physical therapy services via phone calls and/or online portals.
- Recording insurance benefit details (co-pays deductibles co-insurance out-of-pocket maximums) on verification forms patient charts and estimate forms.
- Generating and communicating Estimate of Patient Financial Responsibility forms to patients in a clear and timely manner.
- Reporting discrepancies coverage issues or errors to the Verification of Benefits (VOB) Manager and related teams.
- Auditing daily schedules to identify missing verifications and prioritizing follow-ups.
- Maintaining well-organized accurate records of all verification activities communications and documentation.
Requirements
Competencies
- Experience in insurance verification (healthcare setting preferred physical therapy experience a plus).
- Strong understanding of insurance terminology benefits and verification procedures.
- Clear professional communication skills (verbal and written) with strong phone etiquette.
- Attention to detail and accuracy in all work.
- Effective time management and organizational skills with the ability to prioritize.
- Proficiency in computer systems and online insurance portals.
- Knowledge and consistent application of HIPAA compliance standards.
- Experience with electronic health record (EHR) systems.
- Familiarity with medical and insurance-related terminology.
- Self-motivated and able to work independently with minimal supervision.
Education and Experience
- High school diploma or equivalent required.
- 612 months of relevant experience required; 13 years in healthcare or a front-office setting preferred.
- Experience with EMR systems insurance verification and medical billing is a plus.
- Knowledge of HIPAA and healthcare documentation standards preferred.
Benefits
- HMO with 1 free dependent upon hire
- Life Insurance
- Night Differential
- 20 PTO credits annually
- VL and SL cash conversion
- Annual Performance-Based Merit Increases and Employee Recognition
- Great Company Culture
- Career Growth and Learnings
- Night Shift
- Work from home
Required Experience:
Unclear Seniority
Employment Type
Full-Time
