Job Description

Description

The role of the Insurance Verifier is to provide exceptional care to patients and customers while offering clinical support to healthcare providers. The Insurance Verifier works with patients to obtain proper insurance authorization and sees that their needs and expectations are met. Insurance Verifier’s are responsible for ensuring the smooth operations in the fast paced environment of the clinic with the goal of a positive patient experience with every encounter.

Key Responsibilities

  • Meets individually with all patients to determine insurance benefits
  • Reviews criteria required for pre-authorization of surgery
  • Collects and submits all required information to insurance carriers and follow-ups to ensure receipt and approval
  • Schedules surgeries and pre-op appointments with patients and follows patient until all accounts receivables are in for surgery
  • Serves as a resource to patients and their families who are receiving care as part of the treatment plan
  • Assists with front and back office duties as required
  • Completes assigned training and education
  • Performs other duties as determined by the Practice Manager or Clinic Director

Minimum Requirements:

  • High School diploma or GED equivalent is required
  • Demonstrated knowledge of medical terminology
  • Demonstrated ability to communicate effectively on the phone, in writing and via email
  • Ability to exercise discretion on sensitive and confidential matters
  • Demonstrated computer skills with data entry software

*Institutional accreditation and degree obtainment will be verified upon hire

Preferred Qualifications:

  • Three or more years experience in an outpatient clinic or other healthcare setting
  • One or more years of demonstrated insurance pre-authorization experience
  • Demonstrated experience using electronic medical records (EMR)

Physical Requirements:

  • Sit up to 6-8 hours a day
  • Stand and walk up to 4-6 hours a day
  • Speak and listen to internal and external customers
  • Bend to reach supplies/materials, reach with hands and arms throughout the day
  • Lifting, pushing, pulling
  • Grasp and manipulate tools
  • Key information into a computer workstation, use computer peripheral tools


Please Note:
All positions subject to close without notice

Application Instructions

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