Insurance Verification Specialist – Anne Arundel Dermatology – Tampa, FL

Overview:

The Insurance Verification Specialist must possess excellent customer service and communication skills as (s)he will work directly with the team manager to train, monitor, and manage performance. The Insurance Verification Specialist must demonstrate mastery in all insurances at the end of the training period. The Insurance Verification Specialist works with the Manager to promote teamwork throughout the department to progress consistently.

Responsibilities:

• Verify patient insurance eligibility and re-verify via websites or phone calls monthly for Medicare and every 15 days for Commercial and Medicaid Insurances
• Ensures patient insurance information is collected and accurately inputted into the system for billing purposes
• Review patient’s deductible, co-pays, co-insurances, Out of Pocket and enter the notes on the insurance tab
• Assist front desk staff and call center in understanding verification of eligibility
• Determine the correct Coordination of Benefits of the patient with its insurance company
• Maintains the strictest confidentiality adheres to all HIPAA guidelines and OSHA guidelines
• Note a summary of insurance information in each account, including referral and authorization requirements.
• Communicates with insurance carriers pleasantly and expeditiously for insurance verification and troubleshooting
• Verifies emergency and walk-in patients as requested
• Able to check 125+ Verifications a day
• Produce accurate work
• Performs miscellaneous job-related duties as assigned

Qualifications:

• Must have experience with all types of insurance, including Advantages plans, HMO, PPO, Short Term, Medicare, Medicaid, and others.
• Must meet department standards for general abilities for typing, must have accurate keyboard skills to include proper grammar and correct spelling skills.
• Must be detail-oriented and able to access data from varied resources and programs.
• Must be able to multi-task and adjust work pace to meet patient volume demands in a fast-paced environment demonstrating tact, courtesy, and discretion at all times.
• Must possess a professional manner and appearance.
• Must display a positive demeanor and be a role model for dependability, responsibility, and professionalism.
• Must uphold all aspects of Clinic Standards of Conduct. Holds self to the highest standard of individual ethical and legal business practices and takes appropriate steps to identify, report, and prevent illegal or unethical activity in the workplace.
• Must meet production standards of the department.

Licensure/Certifications/Education:

• High School graduate or GED equivalent. Related education and experience must be within the last five (5) years.
• Must possess advanced medical terminology and knowledge in the medical field.
• Must have a minimum of 3 years of experience in a specialist office working in the verification department.
• Must have experience with all types of insurance, including Advantages plans, HMO, PPO, Short Term, Medicare, Medicaid, and others.
• Prefer 4+ years of customer service experience in the related field, medical insurance verification, and a plus if they have experience in billing/payment processing.