Insurance Verification Representative

Job Description:

• Verify patient insurance coverage and benefits through appropriate payer portals and Experian
• Accurately process new and established patient accounts within required timeframes
• Review and document insurance benefits, coverage limitations, copays, deductibles, and estimated patient costs
• Notify patients of coverage issues and financial responsibilities
• Schedule new patient appointments and assist with account-related questions
• Communicate with patients through approved methods, including Artera
• Direct patients to Financial Counseling for financial hardship and payment plan options when appropriate
• Maintain accurate documentation, including insurance verification and patient communications
• Utilize eClinicalWorks, Outlook, Microsoft Teams, Experian, Artera, and other department systems
• Comply with HIPAA, 42 CFR Part 2, and other applicable privacy requirements
• Maintain knowledge of insurance and billing requirements
• Meet productivity, attendance, and performance expectations
• Work collaboratively with team members and represent Ideal Option professionally
• Perform other duties as assigned

Requirements:

• High School Diploma or GED required
• At least 1 year of customer service experience
• At least 1 year of medical insurance verification experience
• Experience with personal computers, Microsoft Suite, internet browsers, and/or electronic spreadsheets
• Strong verbal and written communication skills
• Excellent customer service and attention to detail
• Ability to multitask and work effectively in a fast-paced environment
• Ability to learn and navigate multiple computer systems and applications
• General knowledge of medical office procedures and insurance processes
• Proficiency with Microsoft Office applications, including Outlook and Teams
• Knowledge of chemical dependency and its effects on individuals, families, and communities; training provided if needed
• Knowledge of eClinicalWorks, Experian, and Artera preferred
• General knowledge of ICD 10, CPT and HCPCS codes, and medical billing processes preferred

Benefits:

• Full-time employment

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