Insurance Verification Specialist

The Insurance Verification Specialist is responsible for ensuring accurate patient demographic and insurance information is reported in each claim.

ESSENTIAL DUTIES AND RESPONSIBILITIES 

• Request hospital face sheet/demographics if applicable to obtain payer/demographic information.
• Verify payer information and select/add appropriate payer information on all transports.
• Check appropriate insurance websites and/or contact the patient on all private pay accounts prior to billing.
• Review PCR or face sheets for missing insurance and other pertinent information in relation to billing.
• Work and resolve any claim for which a denial was received.
• Follow up on rejected claims.
• Work returned mail.
• Other job-related duties as assigned.

KNOWLEDGE AND EXPERIENCE

• High School diploma required
• Two years of insurance verification knowledge preferred
• One year of data entry skills preferred
• Computer literate and enjoys research
• Problem solving mindset
• Well organized and detail oriented
• Professional phone skills
• Maintain any certification applicable to job functions
• Ability to handle multiple tasks and to prioritize their importance

Emergicon requires satisfactory pre-employment drug screening and background check.