Neville Foot and Ankle Centers is currently seeking an Experienced Insurance Verification Specialist. In this role, you will verify insurance coverage for new patients and referrals, as well as update information for existing patients. Your duties will also involve calling to obtain pre-authorization for services, which requires strong phone communication skills. After verifying coverage, you will help patients understand what their financial responsibilities will be.
Duties and Responsibilities
Eclinical work a PLUS
Availity a PLUS
The Insurance Verification Specialist plays a crucial role in the healthcare process by ensuring that patients' insurance information is accurately verified and processed
This position requires a detail-oriented individual who can navigate complex insurance systems and communicate effectively with both patients and healthcare providers
The specialist will be responsible for confirming coverage, understanding managed care plans, and ensuring compliance with HIPAA regulations
Verify patient insurance coverage and benefits prior to appointments or procedures
Communicate with insurance companies to obtain necessary authorizations and clarify coverage details
Maintain accurate records of insurance verifications and updates in the medical office system
Collaborate with medical coding staff to ensure correct coding of services in accordance with ICD-9 standards
Assist patients in understanding their insurance benefits and any out-of-pocket costs associated with their care
Ensure compliance with HIPAA regulations regarding patient information confidentiality
Provide support to the billing department by resolving discrepancies related to insurance claims
Stay updated on changes in medical terminology, coding practices, and insurance policies
Requirements and Qualifications
High school diploma or GED certificate
Knowledge of CPT codes and basic medical terminology (preferred)
Phone communication skills
Bilingual ability (English/Spanish) a preferred
Numbers & Facts
Location
THE WOODLANDS, TX
Job Type
Full-time
Skills
Communication Skillsunmatched
Current Procedural Terminology (CPT)unmatched
Detail Orientedunmatched
English Languageunmatched
Financial Managementunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Health Insuranceunmatched
Health Planunmatched
Healthcareunmatched
Healthcare Providersunmatched
High School Diplomaunmatched
ICD-9unmatched
Insuranceunmatched
Insurance Claimsunmatched
Maintain Complianceunmatched
Managed Careunmatched
Medical Codingunmatched
Medical Officeunmatched
Medical Recordsunmatched
Medical Terminologyunmatched
Multilingualunmatched
Patient Confidentialityunmatched
Reconciliationunmatched
Record Keepingunmatched
Regulatory Complianceunmatched
Spanish Languageunmatched
Telephone Skillsunmatched
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