Full-Time Insurance Verifier

Position Summary

The Insurance Verifier provides a variety of high quality customer service and clerical support. Uses specific knowledge of medical procedures, insurance processes, data management and medical records to organize and complete medical office tasks. Greets patients, answers phones, schedules appointments and verifies insurance as needed. May provide billing and collection services. Provides assistance and backup support to various departments.

Essential Responsibilities

• Demonstrates behaviors that reflect Tower’s core values of quality, safety, teamwork, accountability, integrity and respect.
• Greets patients and obtains needed information. Scans patient information into RIS and ensure patient’s jackets contain complete information.
• Verifies patient information and confirms patient's appointments.
• Partner with doctor offices to obtain clinical information.
• Provides estimates and shares benefits with patients.
• Obtains labs and calculates GFR.
• Provide administrative support and coordinate with co-workers to provide timely and accurate services.
• Maintain confidentiality in handling sensitive patient information, documents and film.
• Analyze and prioritize information and job tasks to ensure duties are completed in a timely manner.
• Provides exceptional customer service.
• Respects patient dignity.

Core Job Duties

• Meets all requirements for confidential management of Company and patient information, including access and distribution controls, password policies, HIPAA and CPI compliance, secure filing and disposal, and records retention and storage.
• Communicates effectively and courteously with all contacts, internal and external. Uses skill and judgment to ensure written and verbal outputs are clear, accurate, grammatically correct, and professional.
• Maintains current knowledge of Company policies and procedures.
• Meets all applicable safety regulations for the position and work environment, including prompt injury and incident reporting and use of personal protective gear when required.
• Uses critical thinking skills to work with documents and forms and interprets information furnished in written, oral, diagram, drawing, or schedule format. Able to review quantitative and qualitative work and identify questionable items.
• Meets time and attendance requirements; organizes workload to meet daily objectives.
• Other duties as assigned.

Other Duties

• Attends meetings and/or training seminar as requested.
• Other duties as assigned.

Education and Experience

• Education – High school diploma or GED.
• Work Experience – one to three years of related experience and/or training, or equivalent combination of education and experience. Insurance billing experience preferred.
• Medical – Strong working knowledge of medical terminology.
• Equipment – Uses office equipment such as computer terminals, copiers and fax machines; data entry and keyboard.

Knowledge and Skills

• Knowledge of blood borne pathogen requirements.
• Ability to effectively communicate verbally and in writing.
• Ability to work flexible schedules as needed and overtime when requested authorized.
• Strong organizational and problem solving skills.
• Computer and Skills – Microsoft Office; specialized industry-specific software; internet browsers.
• Strong written and verbal communication skills.
• Strong organization skills.
• Proficiency in general administrative skills.
• Problem solving skills.

Physical Requirements and Exposures

• Frequent standing, walking, and sitting; occasional bending, stooping, kneeling, crouching, or crawling.
• Hand and finger mobility for use of reaching and manipulating keyboards and other business equipment.
• Occasional lifting of materials weighing up to 30 pounds.
• Must be able to drive, have use of personal vehicle, and maintain own auto insurance.
• Clear hearing and speaking voice sufficient for face-to-face and telephone communication.
• Clear vision, with or without correction, for near and far work, sufficient to operate office and medical equipment. Color vision is required.
• Equipment worked with includes: moving mechanical parts, computer stations, office and medical equipment.
• Exposure to potential hazards: potential infectious agents, fumes or airborne particles, cleaning chemicals, radiation-emitting devices, contaminated needles/injection devices.
• Noise level: typical of an office environment and medical clinic.

Additional Information

• Must be willing to work overtime when requested and authorized.
• Must be willing to travel to off-site work meetings, trainings and events, if requested.