Insurance Verification Specialist

Job Summary

To ensure timely insurance verification and financial clearance, the full-time hybrid Insurance Verification Specialist 2 will provide insurance benefit information to patients and healthcare staff, manage complex issues, and oversee workflow for optimal departmental results.

Key responsibilities

• Perform financial clearance by verifying insurance eligibility and benefits, ensuring timely notifications and authorizations
• Coordinate the submission of clinical documentation for payer authorization needs and calculate patient financial responsibility
• Assist co-workers and facility customers with complex questions while documenting processes according to guidelines for accurate reimbursement

Required qualifications

• High School Diploma or GED Equivalent
• 3 years of experience in healthcare or customer service
• Ability to understand payer guidelines by plan and service type
• Excellent data entry and computer navigational skills
• Ability to maintain professionalism in stressful environments