Insurance Verification Specialist

Qualifications:

• High School Diploma
• 1-2 years of front office specialist experience with HealthQuest preferred.

Skills:

• Excellent communication skills
• Excellent organizational skills and attention to detail
• Excellent time management skills and highly efficient
• Proficient knowledge of medical insurance providers.
• Proficient knowledge of medical terminology, coding, and reimbursement rates.
• Proficient knowledge and experience with electronic medical record (EMR) systems.

Responsibilities:

• Verify patient insurance coverage and the patient’s cost share information for physical therapy services.
• Confirm the insurance companies or 3^rd party management companies authorization requirements and submission process.
• Maintain accurate and up-to-date insurance records in the patient’s chart. Ensure all information is accurately entered into the electronic medical records (EMR) system.
• Communicate with clinic staff regarding patient’s insurance coverage and any issues that may impact a patient’s access to care.
• Answer all clinic staff inquiries regarding benefit information.
• Adhere to HIPAA guidelines and stay well informed about insurance regulations.
• Maintain portal access to all insurances.
• Maintain awareness of all pertinent information regarding the company’s participation with insurance networks.
• Work with billing staff to ensure all claims process properly.
• Understand, comply, and uphold all Code of Conduct standards and promote ethical behavior in the workplace.
• Perform all other duties as assigned.

Benefits:

• Opportunity for growth & Ownership
• Mentorship & career development
• Meaningful and rewarding work environment
• Help patients get out of pain and recover from injury
• Family and team-like environment

To be considered for this role, candidates must successfully pass an internal screening against the OIG Exclusions list.