Insurance Verification Specialist

Start Date: 4/23

Description:

The Insurance Verification Specialist is responsible for verifying patient insurance coverage to ensure necessary procedures are covered by an individual’s provider. The ideal candidate will have a strong understanding of insurance policies, excellent communication skills, and the ability to work in a fast-paced environment.

Key Responsibilities:

• Verify insurance eligibility and coverage for patients scheduled for procedures or appointments.
• Obtain pre-authorizations and referrals as required by patients’ insurance plans.
• Communicate with patients and insurance companies to clarify coverage details and resolve any issues or discrepancies.
• Update patient records with insurance information and authorization details.
• Coordinate with healthcare providers and billing department to ensure accurate billing and reimbursement.
• Maintain up-to-date knowledge of insurance policies, regulations, and industry standards.
• Assist patients in understanding their insurance benefits and out-of-pocket responsibilities.
• Follow up on pending authorizations and resolve any denials or appeals in a timely manner.
• Collaborate with the healthcare team to ensure a smooth and efficient patient experience.

Qualifications:

• High school diploma or equivalent; post-secondary education in healthcare administration or related field is a plus.
• Minimum of one year of experience in insurance verification, healthcare billing, or a related field.
• Strong understanding of insurance terminology, policies, and procedures.
• Proficient in using electronic medical records (EMR) and billing software. (Next Gen and EPIC)
• Excellent communication and interpersonal skills, with the ability to interact effectively with patients, insurance representatives, and healthcare providers.
• Strong organizational skills and attention to detail.
• Ability to multitask and work efficiently in a fast-paced environment.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.