Insurance Verification Specialist

• Perform quality assurance review/analysis on individual insurance policy benefits prior to insurance verifications being released to clinical teams
• Document and leverage insurance policy coverage patterns to create templates and job aids for verification team
• Review patient accounts against verified insurance benefits to ensure accurate coverage
• Work collaboratively with other teams in the department to ensure a seamless patient financial lifecycle
• Maintain a strong working knowledge of the clinical patient financial lifecycle and intersections between clinical and revenue cycle processes
• Maintain proficiency in insurance verifications forms, protocols, procedures, websites and proprietary software
• Act as a customer service resource and liaison for clinical teams in need of guidance and explanation on patient insurance benefits and financials
• Perform insurance verification phone calls and web-portal tasks as needed
• Participate cross-functionally with pre-certification tasks as needed
• Notify management of any strange scenarios, possible compliance concerns or recurring issues.
• Maintain a positive and professional work environment.
• 2+ years of insurance verifications experience
• Strong knowledge of insurance benefits and insurance terminology
• Exceptional verbal and written communication
• Strong attention to detail and organization skills
• Solution-oriented approach to problem-solving
• Proficiency in Microsoft Office

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Disclaimer

All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.