Insurance Verification Specialist - TEMP POSITION na undefined

JOB TITLE: Insurance Verification Specialist - TEMP POSITION

DEPARTMENT: Insurance & Billing

SUMMARY: The Insurance Verification Specialist assists patients with benefits and communicates with insurance companies regarding claims.  Works with patients to resolve financial challenges and maintains a healthy aging accounts receivable.

DUTIES AND RESPONSIBILITIES:

• Study insurance plans used most frequently with patients to understand the various nuances to communicate more effectively.
• Verify insurance benefits.
• Handle all inquiries concerning insurance daily.
• Post payments daily.
• Process refunds for patients.
• Document basic insurance information in the patient’s file for quick reference.
• Correspond with insurance companies to resolve payment delays, requests for additional information, or to discuss denied treatment coverage.
• Send information as requested by insurance companies such as x-rays, charting, narratives, and other documentation for processing the claim when applicable.
• Provides insurance predetermination documentation to patients; contact the patient to make financial arrangements, and schedule treatment.
• Process and submit claims daily.
• Monitor and follow-up on outstanding claims.
• Identify patients in the daily schedule who are a financial concern, notate payment problems on the patient’s chart, and arrange a conference with them before the time of the appointment.
• Make financial calls and record all financial discussions with patients in their file.
• Follow through with correspondence regarding collection when unable to contact the patient on the phone.
• Solidify the financial agreement with the patient, such as payment amount and payment schedule.
• Complete all other duties as assigned by Management.

SUPERVISORY RESPONSIBILITIES:

QUALIFICATIONS:

• High School Diploma and 2 - 3 years’ prior experience or training.
• Associate's Degree (AA) or equivalent from a two-year college or technical school preferred, or 1 – 2 years of related experience and/or training, or equivalent combination of education and experience.
• Prior experience with Orthodontic Insurance Billing and Benefits.
• Computer skills preferred:  Dolphin, mConsent, Microsoft Dynamics CRM, Microsoft Outlook & Excel

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

• Continually required to sit, utilize hand and finger dexterity and talk or hear.
• While performing the duties of this job, the noise level in the work environment is usually quiet 
• The employee must occasionally lift and /or move 5-10 pounds.
• Specific vision abilities required by this job include: Close vision; Distance vision; Color vision; Peripheral vision; Depth perception and ability to adjust focus.

The above is intended to describe the general content of and requirements for the performance of this job.  It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements.  Nothing in this job description restricts management’s right to assign or reassign 

duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.