• Responsible for effective and efficient verification of all patients’ benefits before their appointment.
• Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance verification coverage.
• Research eligibility information online with various insurance carriers.
• Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected for insurance verification.
• Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
• Responsible for obtaining all referrals and authorizations for procedures and services, as required.
• Project a professional manner and image.
• Adhere to ethical principles.
• Demonstrate initiative and responsibility.
• Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
• Establish and maintain effective working relationships with patients, insurance companies, and staff.
• Reviews all patient insurance information needed to complete the benefit verification and authorization process.
• Triages cases with missing information to appropriate program associate.
• Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
• Identifies any restrictions and details on how to expedite patient access.
• Responsible for procuring accurate patient insurance benefit authorization and securing authorization for services.

Qualifications:

• At least 18 years of age.
• High School Diploma or equivalent.
• Advanced training on billing preferred.

Personal Characteristics:

• Interacts and communicates appropriately with various personality types.
• Exceptional communication skills including writing, speaking, and active listening leading to great customer service skills, including interpersonal conversation, patience, and empathy to provide an exceptional experience for our partners, patients, and team members.
• Ability to be discreet and maintain the security of partner or patient information not violating HIPPA guidelines.
• Demonstrates flexibility and adapts easily to changes in processes and procedures, helping the department achieve financial and productivity goals.
• Contributes new ideas for department growth.
• Must be open to and work effectively both independently and as a team member, that is a critical thinker with good decision-making and problem-solving skills.
• Contributes new ideas to personal growth and learning to help develop new unique solutions.
• Demonstrates excellent organizational skills, uses independent judgement with time management and prioritization abilities while maintaining attention to detail.
• Able to achieve exceptional outcomes, and demonstrate exceptional customer service through our core values of agility, integrity and community.

Physical Characteristics:

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.
• Must be able to navigate various departments of the organization's physical premises.