What are the responsibilities and job description for the Insurance verification position at Alabama Oncology?
Insurance Verification Clerk Supervisor
Summary :
Responsible for the supervision of prior authorization and insurance verification staff; this includes the supervision and coordination of insurance verification and eligibility determination duties based on patient's current insurance coverage, updating system with any changes, and maintaining accurate patient demographics.
Essential Duties and Responsibilities :
- Responsibilities include interviewing, hiring and training employees, planning, assigning and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.
- Oversees and ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate and timely manner.
- Oversees and ensures that intake information received from the site is accurate, noting any inconsistencies and resolving those by communicating with the sites.
- Verifies and notes benefits for all third party payers for coverage on each of the following services. Office visits co pays, deductibles, all IV / injectable drugs ( chemo and supportive), and maximum out of pocket.
This will be completed for all primary and secondary insurances.
Benefits will be noted in the system and returned (via interoffice mail or fax) to the site on a summary of patient liability form.
Time allowed for intakes and liability forms shall be no more that two (2) business days.
- Ensures discrepancies or significant coverage issues that are found will be immediately relayed (via phone and e mail) to the appropriate site and the Patient Financial Counselor.
- Assist in maintaining manuals, logs and other required documentation.
- Demonstrates an understanding for patient confidentiality in accordance with HIP AA and BHOA guidelines.
- Follows policies and procedures to contribute to the efficiency of the front offices.
- Covers for and assists the Patient Financial Counselors with intakes and other functions at the Business Office as requested
- Maybe be required to perform tasks of the insurance verification team when needed.
- All other duties as assigned.
Education and / or Experience :
- College Degree or Equivalent experience required. Three (3) years of medical office experience with insurance procedures and patient interaction preferred.
Last updated : 2024-11-18