What are the responsibilities and job description for the Insurance Verification Specialist position at Mountain State Oral and Facial Surgery?
Our company has served as the administrative partner for prominent providers specializing in oral and maxillofacial surgery throughout the state of West Virginia, the Ohio/Kanawha River valley regions, Virginia, and the Greater Charlotte region of North Carolina since its establishment in 2018. Our mission is to provide dedicated management and administrative support to help practices optimize their business for success.
As an employer, we are focused on always striving to create a best-in-class experience for the entirety of our employees? career from application to retirement. We seek team-oriented leaders with a desire to grow and be a part of an exciting time for our organization.
Not only do we offer competitive wages, but we also offer a significant benefits package which includes low-cost medical deduction and company paid dental and vision insurance , F.S.A./H.S.A., 401k with match, PTO, paid holidays, employer-covered basic life insurance, voluntary benefits, wellness program, employee assistance program, and a weekday/daytime only schedule with short Fridays to boot!
The ideal candidate will be responsible for communicating with insurance companies, insured patients, and other team members in the dental office to ensure correct insurance information is provided and verified in a timely manner. This position is responsible for verifying insured patients? information is current, and ensuring the details of dental benefits are properly entered into WinOMS in order to help provide the patient with accurate financial estimates for their treatment plan.
JOB SUMMARY:
Perform insurance verification.
Responsibilities include but not limited to heavy phone contact with managed care companies, communicate with insurance companies authorization department regarding any CPT code discrepancies (as assigned), and contact patient prior to appointment if there is any insurance/ authorization issues.
MAJOR DUTIES & RESPONSIBILITIES:
? Accurately enter insurance information into computer system.
? Responsible for pre-certification/ authorization and insurance verification for all patients.
? Research, follow up and resolve open & pending authorizations in a timely manner
? Calculate cash estimates for patients on upcoming visits/ procedures.
? Contact patients regarding financial obligations. ? Documents activity in the patient accounts.
? Concisely, precisely and accurately document all information.
? Maintain clear communication with patients as well as insurance companies.
? Answer phone for incoming calls, make outgoing calls and assist Call Center as needed.
? Maintain strict confidentiality of patient and center related business.
? Obtain prior authorization for procedures. ? Scanning medical documents into patient accounts
