Job Summary:

The Insurance Verification Specialist I is responsible for verifying health insurance benefits for all new patients or existing patients. This position will contact patient’s insurance company to verify coverage levels, retrieve authorizations, and works with patients to walk them through their benefits information. Notify patient and help arrange alternative payment methods when insurance coverage does not cover services.

Job Responsibilities:

• Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual’s provider.
• Notify patient and help arrange alternative payment methods when insurance coverage does not cover services.
• Responsible for entering data in an accurate manner in order to update patient benefit information correctly in EMR and verify that existing information is accurate.
• Perform routine administrative and clerical tasks to keep the offices of physicians and other health practitioners running smoothly.
• Answer patient questions to ensure understanding and patient satisfaction, or refers them to more senior level staff.
• Consistently review eligibility responses in insurance verification system.
• Request payments from patients and guarantors where appropriate.
• Perform related duties as assigned

Job Requirements:

• High school graduate or GED certificate is required.
• A minimum of 6 months’ experience in a physician billing or third party payer environment.
• Candidate must demonstrate working knowledge of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
• Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred.
• Knowledge of medical terminology is preferred.
• Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges: $21.63 - $26.44

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.

61st Street Service Corporation

At 61^st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer, and we adhere to all requirements of all applicable federal, state, and local civil rights laws.