[Hiring] Insurance Verification Specialist @Urology of Indiana LLC

Role Description

Responsible for timely updating and adding current payer plan to the patient’s chart utilizing all available electronic tools, including making outgoing telephone calls to both patients and payers’ plans.

• Via electronic tools, update all requisite payer plan information, including subscriber and patient ID # within Urology of Indiana practice management system prior to the patient appointment.
• Daily, run and work the Eligibility queue report per assigned locations.
• Monthly, run patient aging report and review accounts to identify, add and/or update any missing or incorrect insurance.
• If previous claims were filed with an invalid payer plan, add correct payer; change status and owner on the claim and rebill all of the claims.
• Apply patient alert on chart “Front desk- please task new insurance card.”
• When changing insurance in iSALUS if the appointment type is at a hospital (inpatient/outpatient), send via email to the surgery scheduler or precert team member to advise them of the change.
• If eligibility cannot be confirmed via available tools, contact (via telephone) the patient.
• If no response from patient within three business days, send the patient an insurance information letter and apply an alert to the patient’s chart (prompts front office to task new insurance card). Expire the alert in 7 days.
• If Medicare plan is on the patient chart, verify or add the new MBI number.
• Handles inbound calls from locations, patients, etc. with general insurance questions.
• Back up to charge entry and payment posters.
• Responsible for mail distribution, faxes, copies, scanning and E-doc process.
• Provide benefits estimates for patients’ procedures.
• Other duties as assigned.

Qualifications

• Knowledge of medical terminology.
• Understanding how to interpret commercial payer’s, Medicaid and Medicare’s benefits and eligibility information on all of the respective payer’s websites.
• Good organization and strong follow through skills.
• Ability to respond to questions in a tactful and professional manner.
• Detail-oriented - must pay attention to details.
• Ability to maintain confidentiality.

Requirements

• High school diploma or three to five years related experience and/or training in collection of medical accounts; or equivalent combination of education and experience.
• Knowledge of insurance regulations and procedures.
• Experience with CPT-4 and ICD-10 is preferred.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine correspondence.
• Ability to speak effectively before individuals or groups of people.
• Ability to calculate basic figures and amounts.
• Ability to apply concepts of basic algebra and geometry.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Knowledge of basic computer software.
• Strong written and oral communication skills.
• Demonstrate a positive, cooperative and professional attitude towards co-workers and public.

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.

• Frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear.
• Must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, approximately 8 hours per workday. Occasional evening and weekend work may be required as job duties demand.

Benefits

• Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans.
• HSA / FSA.
• 401(k) matching.
• Employee Assistance Program (EAP).
• And more.