What are the responsibilities and job description for the Insurance Verification Specialist position at Tampa Family Health Centers?
Job Description
Job Description
Position Summary
The Insurance Verification Specialist is responsible for verifying patient insurance coverage and benefits to ensure accurate billing and claims processing. This role involves interacting with patients, clinicians, and insurance companies to obtain and confirm necessary information. The specialist will also manage and update patient insurance information in the system, ensuring compliance with all relevant regulations.
Essential Duties & Functions
- Verify patient insurance coverage and benefits eligibility using the EPIC Real Time Eligibility module.
- Interact with patients, healthcare providers, and insurance companies to obtain necessary information.
- Coordinate with clinical staff and operations to ensure all required documentation for insurance verification is available.
- Update insurance and patient information in the EPIC system as necessary.
- Follow up on any issues related to insurance verification and claim submission.
- Navigate insurance company websites and online tools to confirm details of coverage.
- Resolve patient billing and insurance inquiries and disputes.
- Communicate with patients regarding their insurance coverage and benefits including financial obligations.
- Comply with all privacy and confidentiality rules and regulations.
- Document in record of all interactions for reporting and audits.
- Communicate with Revenue Cycle Management (RCM) Leadership to report trends, issues, and system optimization opportunities.
Required Education, Certifications, Licenses, & Training
Required Years of Experience
Required Knowledge, Skills, and / or Abilities
