Overview:
Shenandoah Oncology is looking for a detail-oriented and motivated Medical Insurance Verification Specialist to join our practice. Under general supervision, is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine and non-routine account inquiries. Follows standard procedures and pre-established guidelines to complete tasks. The position is Monday - Friday, 8:00 - 4:30 p.m., and our practice observes several paid holidays and offers a competitive benefit package (see additional benefit information below).
Responsibilities:

• Calls insurance companies to verify benefits of the patient.
• Completes insurance verification and summary of reimbursement and liability forms.
• Reviews demographic and insurance information in patient accounts and make necessary corrections as needed.
• Notes in each account a brief summary of information received from the insurance company.
• Scans assignment of benefits, verification of benefit information and financial liability and forwards completed information back to the appropriate office.
• Prepares financial folders of enrollment cards, financial liability forms and demographics and files the information appropriately.
• Enters information into Excel spreadsheet to track accounts received, completed and returned.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the business office.
• Covers for and assists with other business office functions as requested.

Qualifications:

• High school diploma or equivalent required.
• Minimum one year of medical business office experience with insurance procedures and patient interaction.

Competencies

• U ses Technical and Functional Experience
• Possesses up to date knowledge of the profession and industry
• Accesses and uses resources when appropriate
• Demonstrates Adaptability
• Handles day to day work challenges confidently
• Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change
• Shows resilience in the face of constraints, frustrations, or adversity
• Demonstrates flexibility
• Customer Service
• Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
• Uses Sound Judgment
• Makes timely, cost effective, and sound decisions
• Makes decisions under conditions of uncertainty
• Shows Work Commitment
• Sets high standards of performance
• Pursues aggressive goals and works efficiently to achieve them
• Commits to Quality
• Emphasizes the need to deliver quality products and/or services
• Defines standards for quality and evaluates products, processes, and services against those standards
• Manages quality
• Improves efficiencies

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.
Benefits
The position also offers a competitive benefits package that includes medical, dental, vision, life insurance, short-term and long-term disability coverage, a generous PTO program, 401K matching, a wellness program that rewards you for practicing a healthy lifestyle, and lots of other great benefits such as tuition reimbursement, employee assistance program, and discounts on some of your favorite retailers.