Job Summary: The Insurance Verification Specialist verifies insurance coverage for new patients, referrals and updates information for existing patients. 

Duties/Responsibilities:

• Verify insurance information for new patients and referrals.
• Update insurance information for existing patients
• Call to obtain pre-authorization for recommended services and procedures.
• Explain to patients their financial responsibilities. 
• Inform relevant clinical staff about denials.
• Answer questions related to billing and insurance.
• Make appropriate documentation in the patient account.
• Monitor approved visit number.
• Obtain authorization renewals, as necessary.
• All other duties as assigned. 

Education and Experience:

• High school diploma or GED certificate
• Knowledge of CPT codes and basic medical terminology (preferred)
• Two or more years of experience in medical office.
• Knowledge of HIPPAA requirements regarding patient confidentiality

Physical Requirements: 

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times. 
• Walking, Standing, Bending, Reaching and Pulling 

(rev -6/2021)