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Referral and Insurance Verification Specialist

Hampton Roads Otolaryngology Assoc
Hampton, VA Full Time
POSTED ON 1/30/2025
AVAILABLE BEFORE 3/29/2025
Description:

Referral and Insurance Verification Specialist Job Description

  • Verify insurance eligibility for scheduled appointments.
  • Track and maintain insurance referrals to ensure continuity of care.
  • Answer patient inquiries regarding their account balances.
  • Process payments on behalf of patients.
  • Verify benefits and coverage for services.
  • Resolve billing inconsistencies and errors.
  • Provide pricing to self-pay patients.
  • Maintain confidentiality by adhering to all HIPAA guidelines/regulations.
  • Other duties as assigned.
Requirements:

  • High School Diploma or equivalent
  • Previous experience in medical billing/collections REQUIRED
  • Must possess knowledge of Explanation of Benefits (also known as EOBs, remittances, etc.) with an understanding of copays, coinsurance, deductibles, and denial codes.
  • Attention to detail and ability to work independently
  • Proficient customer service skills
  • The ability to multi-task in a high volume, fast-paced environment
  • Working knowledge of MS Office

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