What are the responsibilities and job description for the Insurance Verification Specialist position at CAPITOL IMAGING SERVICES LLC?
Job Details
Insurance Verifier
Job description
Radiology & Imaging currently has an opening for a Insurance Verification Specialist - Full Time at our Corpus Christi Locations.
We offer competitive salary and benefits including:
- Company provided life insurance, Short-term disability insurance
- Additional optional employee, dependent and spouse Life and AD & D insurance
- Medical
- Dental
- Vision
- 401 (K) With company match
- PTO - paid time off
- Paid holidays
Radiology & Imaging is an EEO Employer W/MNet/Disabled.
Essential Duties: Insurance Verification & Obtaining Authorizations
1. Manages all phases of the patient encounter by properly entering and/or verifying patient demographic and insurance information. Demonstrates courtesy and respect towards all patients and visitors before, during and after the registration process is complete.
2. Verifies all written orders against what is scheduled in the computer and obtains any missing information. Calls the referring physician office to obtain orders if they are not available at the time of service.
3. Scans and evaluates any clinical notes and medical records needed to obtain prior authorization from insurance. Verifies insurance information via provider portals or by phone.
5. Corresponds with patiens regarding payments, co-pays and deductibles as required and does so prior to services being rendered. Contacts supervisor if payment arrangements are required.
6. Demonstrates knowledge of various payment types, verifies benefit eligibilities and ensures that authorization numbers and/or claim forms are obtained prior to beginning any procedure.
7. Checks fax system routinely for pending orders, files them in the appropriate place or attaches them to the registration form if the exam is the same day.
8. Maintains communication and cooperation with radiologists and all modalities regarding the scheduling and registration of patient exams.
9. Demonstrates knowledge of insurance procedures including requirements of each plan with which the clinic is contracted. Ensures that all necessary authorizations have been obtained prior to day of patient exam. Obtains authorizations for diagnostic imaging and verifies benefits and eligibility.
- Recognizes and records changes in patient information (address, apt. #, phone, insurance, etc.), updates information in computer.
- Takes initiative in learning all job functions; takes initiative in assisting co-workers when not busy with own job duties.
- Must also be willing to perform medical Records request as needed.
- Requirements
PERFORMANCE REQUIREMENTS:
- Skills in answering telephones, balancing figures, inputting data into computer programs, maintaining filing systems, maintains logs, maintaining patient charts, researching information, scheduling appointments.
- Skills in operating adding machine, calculator, Fax, personal computer, photocopier
- Excellent communication skills, both verbal and written
- Ability to maintain a professional image including courteous behavior
- Bi-lingual a plus or Preferred
Education:
- High school or equivalent
Experience & License:
- Experience preferred but not required.
Physical Demands:
- Mostly sedentary work
- Moderate physical effort (lift/carry up to 25 lbs)
- Occasional standing/walking
- Occasional reaching, stooping, bending, kneeling, crouching
Vision Requirements:
- Far Acuity: ability to see clearly at 20 feet or more
- Near Acuity: ability to see clearly at 20 inches or less
- Depth Perception: ability to judge distance and space relationships
- Field of Vision: ability to see peripherally
- Accommodation: ability to adjust vision to bring objects into focus
Working Conditions:
- May be exposed to infections and contagious diseases
- Occasional exposure to unpleasant patient or unit elements
- Contact with patients under wide variety of circumstances
- Exposed to unpleasant elements (accidents, injuries and illness)
- Subject to varying and unpredictable situations
- Handles emergency or crisis situations
Job Type: Full-time
Pay: From $15.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
- Weekends as needed
Ability to Relocate:
- Corpus Christi, TX: Relocate before starting work (Required)
Work Location: In person
Qualifications
Salary : $15