What are the responsibilities and job description for the Insurance Verification Specialist position at Prime Health Management?
Overview
The Insurance Verification Specialist plays a crucial role in ensuring that patients receive the necessary coverage for their medical services. This position involves verifying insurance information, understanding medical terminology, and communicating effectively with both patients and healthcare providers. The ideal candidate will have experience in a medical office setting and possess a strong background in insurance verification processes.
Duties
- Conduct thorough insurance verification for patient accounts prior to services being rendered.
- Review and interpret insurance policies to determine coverage levels and eligibility.
- Communicate with insurance companies to obtain necessary authorizations and resolve discrepancies.
- Maintain accurate records of all verification activities and updates in the patient management system.
- Collaborate with healthcare providers to ensure proper coding and billing practices are followed.
- Stay informed about changes in insurance regulations, HIPAA guidelines, and managed care policies.
- Assist patients with inquiries regarding their coverage and benefits as needed.
Skills
- Proficient understanding of HIPAA regulations to ensure patient confidentiality.
- Knowledge of medical terminology and coding systems, including ICD-10.
- Experience in insurance verification processes within a medical or dental office environment.
- Familiarity with managed care plans and their specific requirements.
- Strong attention to detail and organizational skills to manage multiple accounts efficiently.
- Excellent communication skills for effective interaction with patients, healthcare staff, and insurance representatives.
- Ability to work independently as well as part of a team in a fast-paced environment.
This role is essential for maintaining the integrity of patient care through effective management of insurance processes. Candidates who are detail-oriented, proactive, and possess relevant experience are encouraged to apply.
Job Type: Full-time
Pay: From $16.00 per hour
Expected hours: No less than 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Insurance verification: 1 year (Required)
Ability to Commute:
- Houston, TX 77043 (Required)
Work Location: In person
Salary : $16