1 Insurance Verification Specialist Job in Leesburg, FL
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Leesburg Dermatology & Mohs Surgery is Hiring an Insurance Verification Specialist Near Leesburg, FL
The Insurance Verification Specialist ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs other duties as required. Maintains a close working relationship with the clinical department to ensure continual open communication.
Work Hours/Shift: Must have availability Monday-Friday 8am-5pm
Travel: None
Responsibilities
- Proactively contacts insurance companies by phone, fax, online portal, and other resources to obtain and verify insurance eligibility and benefits and determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled patients
- Meet department standard when obtaining pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients.
- Maintain close working relationship with clinical partners and referring offices to resolve issues with obtaining pre-authorizations. Conducts diligent follow-up on missing or incomplete pre-authorizations with third-party payers to minimize authorization related denials through phone calls, emails, faxes, and payer websites, updating documentation as needed
- Minimizes duplication of patient records by using problem-solving skills to verify patient identity through demographic details
- Ensures patient accounts are assigned the appropriate payor plans
- Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available
- Thoroughly documents all conversations with patients and insurance representatives - including payer decisions, collection attempts, and payment plan arrangements
- Adheres to HIPAA regulations by verifying information to determine caller authorization level receiving information on account.
- Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
- Calculates patients? co-pays, deductibles, and co-insurance. Provides personalized estimates of patient financial responsibility based on their insurance coverage or eligibility
- Always maintain the highest level of confidentiality to HIPAA standards.
- Must be detail oriented in order to maintain good financial practices, account balances, and financial reporting.
- Good mathematical aptitude
- Ability to multi-task in a stressful deadline-oriented environment.
- Ability to communicate with coworkers, providers and patients in an effective manner.
- Ability to use a computer and enter data in electronic practice management system.
- Good organizing, coordination and office skills
- Customer service orientation and good phone etiquettes
- Must be flexible and understand that job duties may change from time to time and that this individual may be asked to assist in other areas of the office.
Job Summary
Full Time
$37k-45k (estimate)
03/12/2024
05/10/2024
The job skills required for Insurance Verification Specialist include Customer Service, Problem Solving, Confidentiality, Coordination, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance Verification Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Insurance Verification Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Insurance Verification Specialist positions, which can be used as a reference in future career path planning. As an Insurance Verification Specialist, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Insurance Verification Specialist. You can explore the career advancement for an Insurance Verification Specialist below and select your interested title to get hiring information.
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