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 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, SKILLS, AND ABILITIES

·         Strong computer skills with the ability to research and verify information

·         Problem solving mindset

·         Well organized and detail oriented

·         Professional phone skills

·         Ability to handle multiple tasks and to prioritize their importance

·         Maintain any certification applicable to job functions

EDUCATION AND EXPERIENCE REQUIRED

·         High School diploma or GED

·         Minimum of one year of experience in insurance verification or related billing role.

·         Minimum of one year of experience in data entry or administrative work within a healthcare or billing environment.

WORKING CONDITIONS

Work is primarily performed at a desk using a computer, with extended periods of sitting or standing

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