What are the responsibilities and job description for the Insurance Verification Specialist position at Charles River Recovery?
Position Overview : Candidate is responsible for contacting insurance companies to confirm a patient's coverage details, including eligibility, plan specifics, copays, deductibles, and any limitations on services, ensuring accuracy of the data entered in the system. Candidate will also meet with patients and / or their families to help understand their insurance coverage and any potential out of pocket costs they may be incur.
Specific Responsibilities :
- Collecting and reviewing patient insurance information, including policy numbers, group numbers, and effective dates.
- Contacting insurance companies to verify coverage for specific medical procedures, including pre-authorization requirements.
- Explaining patient out-of-pocket costs like copays and deductibles based on their insurance plan.
- Accurately updating patient records with verified insurance details
- Providing accurate billing information to the medical billing team based on verified benefits.
- Establish positive relationships with insurance providers.
- Identify trends in reimbursements and report out to supervisor through verbal report and generation of graphics.
- Work closely with all departments
- Contribute actively to the organization through committees and memberships as assigned.
- Keep accurate records of all transaction and communication with insurances.
- Accurately transfer all information to the Billing Department
- Report to work as assigned and keep workplace professional.
- Maintain acceptable overall attendance.
- Promote a favorable / positive work atmosphere.
- Attend in-services and educational training as necessary and as assigned.
- Maintains safety of the physical environment.
- Communicate effectively both orally and in writing.
- Other duties as assigned.
Minimum Qualifications
Non-Discrimination Statement :
It is the policy of Charles River Recovery to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, genetic information, or any other characteristic protected by law.
