The Insurance Verification Specialist is responsible for verification of eligibility, insurance benefits, authorizations, pre-certification and payments of patients receiving services at OakBend Medical Center. The Insurance Verification Specialist is required to contact patients by phone to discuss total amount due to hospital for services rendered, setup payment arrangements and assist patients with insurance plans that are complex. Must be have insurance expertise, analytical thinking skills, communication and writing skills, attention to details, computer competencies an be able to key data entry timely and efficient. This position’s first and foremost responsibility is to protect the financial integrity of OakBend Medical Center. There are multiple locations within OakBend Medical Center requiring Insurance Verification Specialist services (i.e., Jackson St, Williams Way, New Territory and Wharton). While the day to day duties vary, the primary responsible is maximizing reimbursement and obtaining authorizations for all required services rendered. The Insurance Verification Specialist must ensure that each account has complete benefit verifications, appropriate authorizations, and that all out-of-pocket expenses are explained to our patients and financial arrangements made and are followed through per current procedures including uninsured patients. Protecting the financial health of OakBend Medical Center and providing exemplary customer service to our internal and external customers.
High school diploma or GED.
Minimum Work Experience
At least one year of Insurance Verification experience required.
Required Skills, Knowledge and Abilities
Excellent interpersonal skills required. Typing of 35 wpm.
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