Insurance Verification Specialist I #Full Time #Remote

Top Healthcare Provider Network

The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors’ practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.

This position is primarily remote, candidates must reside in the Tri-State area.

Note: There may be occasional requirements to visit the office for training, meetings, and other business needs.

Opportunity to grow as part of a Revenue Cycle Career Ladder!

Job Summary:

The Insurance Verification Specialist I specializes in verifying patient insurance coverage, to ensure that correct insurance information needed is secured in the practice management system. This position requires professionals to spend extensive time researching accounts to determine correct insurance coverage and heavy interaction with insurance companies and patients.

• Resolve accounts with unverified insurance coverage.
• Researches system notes to discover proper insurance coverage.
• Contacts patient as appropriate to obtain proper insurance coverage
• Contacts insurance company(s) as appropriate.
• Verifies insurance via system tools, payer portals (Electronic Query (Real-Time-Eligibility [RTE]/Insurance Payer Portal/Phone), obtain benefit coverage.
• Confirms effective and termination dates of patient insurance and updates patient's insurance coverage and changes in the billing system.
• Resolves any issues with coverage and escalates any complications to supervisor/manager.
• Corrects identification and selection of appropriate registered insurance.
• Corrects errors in various work queues to ensure correct claim filing or refiling of denied claims.
• Notifies the servicing provider’s office personnel in a timely manner if registration is lacking critical information needed to bill for services.
• Performs other job duties as required.

Job Qualifications:

• High school graduate or GED certificate is required.
• A minimum of 6 months’ experience in a physician billing or third party payor environment.
• Candidate must demonstrate the ability to understand and navigate the insurance verification process including coordination of benefits, including in depth understanding of In/Out of Network Benefits and how they relate to co-insurance and deductibles due.
• Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner.
• Must demonstrate effective communication skills both verbally and written.
• Ability to multi-task, prioritize, and manage time effectively.
• Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.)
• Experience in Epic and or other of electronic billing systems is preferred.
• Proficiency in health insurance benefits, eligibility requirements and obtaining authorizations is preferred.
• Knowledge of insurance billing requirements is preferred.
• Knowledge of medical terminology, diagnosis and procedure coding is preferred.
• Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges: $22.39 - $28.29

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.

61st Street Service Corporation

At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer, and we adhere to all requirements of all applicable federal, state, and local civil rights laws.