Job Description

Insurance Verification Representative

Peachtree City, GA

OBJECTIVE

The Insurance Verification Representative performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. All employees are expected to exhibit professional, ethical and respectful behavior in accordance with the company’s mission, vision and values.

ESSENTIAL FUNCTIONS

• Maintains patient demographic information and data collection systems.

• Verify insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.

• Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the front end department at all locations.

• Coordinate with front end regarding scheduling errors.

• Assist front end staff and call center staff in understanding carrier websites and verification of

eligibility.

• Enter insurance referrals as needed.

• Participates in development of organization procedures and update of forms and manuals.

• Answers questions from patients, clerical staff and insurance companies.

• Works in conjunction with the reception to ensure clean billing.

• Performs miscellaneous job-related duties as assigned.

• Participates in educational activities and attends monthly staff meetings.

• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Assists in development and communication of SOP for key areas to improve accuracy and

understanding of processes.

COMPETENCIES

· Effective communication skills

· Teamwork oriented

· Initiative

· Proficient computer skills

· Ethical conduct

· Proficient typing skills

SUPERVISORY RESPONSIBILITY

This position has no supervisory responsibilities.

WORK ENVIRONMENT

This position operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

PHYSICAL DEMANDS

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly to talk and listen. This is largely a sedentary role; however, there may be times of standing. Some bending, lifting of 5 to 10 lbs and routine computer usage.

POSITION TYPE AND EXPECTED HOURS

This is a full time position. Days and hours of work are Monday through Friday 8:30 a.m. to 5:30 p.m. Remote options available for qualify candidates.

TRAVEL

Moderate to frequent travel required based on the company needs and as job duties demand.

REQUIRED EDUCATION AND EXPERIENCE

· High School diploma or equivalent

PREFERRED EDUCATION AND EXPERIENCE

· Two to four years of experience in the health care industryy