INSURANCE VERIFICATION SPECIALIST

The insurance verification specialist verifies insurance eligibility for patients who were issued Dura Medic products. This position will verify by collecting information from various insurance websites or call insurance companies. A high-level of accuracy, attention to detail and organization are required to be successful in this position. Reports to Team Lead.

Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.

• Performs insurance benefits verification in accordance with company policy for all insurances listed below that are provided by hospital and/or patient.

o Commercial ex: BCBS, UHC, Aetna, Cigna, Humana

o Govt - Medicare, Medicaid, MCOs, Tricare, VA, Workers Compensation policies

• Update insurance information provided by hospital, patient, adjustors (for WC), and PFS. Submit to proper insurance.

• Ensuring phone calls are answered in a professional and timely manner

• Reviews and approves assigned orders utilizing department guidelines

• Answer and document all calls

• Review demographic and insurance information in patient accounts and make necessary corrections

• Demonstrate an understanding of patient confidentiality to protect the patient and the clinic/corporation.

• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Ability to communicate clearly and concisely, both orally and in writing

• Competency with Microsoft Office Suite

• Knowledge of health insurance processes

• Excellent attention to detail

• Ability to work well in a team dynamic as well as independently

Required Qualifications:

• High School diploma / GED

• 2 years of medical Insurance Verification

• Ability to communicate with patients and insurances

Preferred Qualifications:

• Bilingual English/Spanish a plus

Physical Demands:

• Ability to sit for long-periods of time

• Ability to speak, use of phones and/or headsets

• Ability to stand, use of hands to handle, feel, or reach with hands and arms

• Ability to lift and/ or move up to 25 pounds

• Specific vision abilities required by this job include close vision and distance vision

Work Environment:

The noise level in the work environment is usually moderate

Dura Medic is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, marital status, disability or any other basis prohibited by law.