Insurance Verification Specialist (Facility Experience)
The Insurance Verifier will be responsible for verifying patient insurance coverage, calculating financial responsibilities, and ensuring accurate and timely financial clearance for medical procedures. This role requires strong attention to detail and experience working in a healthcare facility.
Key Responsibilities
- Verify patient insurance coverage and benefits using online portals, phone calls, and other resources
- Manually calculate patient financial responsibilities based on EOB, co-insurance, deductibles, and coverage details
- Enter insurance details (co-payments, deductibles, etc.) accurately into EMR
- Collaborate with front office staff to resolve insurance verification issues
- Ensure all notifications and authorizations are completed before surgery dates
- Work closely with billing and coding teams for proper claim processing
- Maintain professional and clear communication with patients, providers, and insurance companies
- Process 20-30 verifications daily while adhering to productivity standards
Qualifications
- Experience: Minimum 1 year of dedicated insurance verification experience
- Facility Experience: Required, particularly in surgical procedures
- Technical Skills: Experience with Meditech EMR or SSI clearinghouse preferred but not required
- Calculation Skills: Ability to manually determine patient costs based on insurance benefits
- Communication: Strong verbal and written communication skills
- Reliability & Tech Savviness: Comfortable working in multiple systems efficiently
Additional Details
- Schedule Flexibility: Start between 6:30 AM - 5:30 PM
- Training: Fully onsite for a period of 2 weeks to 90 days, based on performance and production
- Work Environment: Business office setting
- Dress Code: Business casual
- Compliance Requirements: Background check, drug screening, education and employment verification
- Interview Process: Virtual interview with hiring managers (ASAP)
- Start Date: Typically 2 weeks after offer acceptance
Perks
- Medical, dental, vision, and life insurance
- Short-term and long-term disability coverage
- 401(k) plan with employer support
- Paid time off and holiday pay
- Employee assistance programs
- Career growth opportunities
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.