The core duties and responsibilities of a one PHG Insurance Verification Specialist are to contact insurance companies to inquire and confirm patients’ insurance benefits and coverage for hearing tests, hearing loss treatment, devices, and accessories. Confirming and helping obtain patient demographics and insurance information is also required to ensure accurate and complete data is entered into the CRM/EMR system. This position reports to our Director of Payer Relations.

Responsibilities & Duties:

· Contact insurance companies via provider portal and telephone to obtain patient insurance information

· Review Insurance information in CRM/EMR for completeness and accuracy

· Contact patients for missing or inaccurate information

· Support and assist PCC & Providers in multiple one PHG offices with insurance verification

· Communicate patient financial responsibility to clinics

· Obtain insurance Prior Authorization approvals before services/devices performed or issued to patient

· Create and maintain tracking tools such as Microsoft Excel and create reporting data as requested

· Attend and contribute to Team meetings

· Meet daily/weekly/monthly verification goals

· Assist with credentialing tasks as requested by supervisor

· Other duties as assigned

Skills & Qualifications:

· Minimum of a High School diploma or GED

· Prefer a minimum of 2 years of insurance verification experience including Medicare, Medicaid, major commercial health insurance and secondary payers.

• Solid understanding of medical insurance benefits including deductibles, copay and coinsurance.

· Exceptional attention to detail is critical

· Desire and ability to provide excellent customer service to internal and external customers

· Knowledge and/or ability to learn ICD and CPT codes

· Above average computer knowledge and experience, particularly in Microsoft Excel

· Strong organizational & time management skills

· Problem solving capabilities

· Capable of handling multiple tasks and patient files at a time

· Excellent verbal and written communication skills

· Accurate and efficient data entry skills

This position offers competitive compensation and benefits. If you meet the qualifications and are looking to advance your career as an Insurance Verification Specialist, we encourage you to apply.

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Experience:

• Insurance verification: 2 years (Preferred)

Work Location: In person