Insurance Verification Specialist

Performs insurance verification duties to obtain primary insurance data for use in determining patient’s eligibility for visits, by verifying insurance, correcting patient demographics, obtaining referrals as needed. Verify patient benefits and insurance eligibility to update registration and coverage information. Responsible for telephone eligibility support. Participate in quality control and solution recommendation to include notification to management team of process issues. Handle incoming patients and Clinic questions, in regard to patient copays, deductible and coinsurance coverage and eligibility. Responsible for adding and updating all commercial and governmental payers. Obtaining referral/authorization for scheduled patients. Review Charge review for registration errors and update for accurate and timely billing. Reviews new and follow-up patient registration, obtains and manages referrals, and advises on co-pays and deductibles. Contacts PCP and/or Clinic to coordinate and obtain accurate and current referral documentation, once confirming patients have established care. Coordinates with UHS referral team and has in-depth knowledge of both registration access tools. Effectively navigates between multiple verification tools to obtain thorough eligibility and benefits material. Meet current production standards set by the management team to resolve outstanding claims and maintain a healthy accounts receivable. Completes all other duties as assigned. Some knowledge of patient billing or collection/reimbursement procedures. Detail oriented with the ability to organize, prioritize and coordiante work within schedule constraints and handle emergent requirements in a tiemly manner. Ability to multi-task in a fast paced, high-volume environment. Proficient in Microsoft Office. EPIC experience. EDUCATION: HS Diploma or equivalent