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Fayetteville

    Insurance Verification Specialist - Fayetteville, United States - Highlands Oncology Group

    Highlands Oncology Group
    Highlands Oncology Group Fayetteville, United States

    2 weeks ago

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    Description

    Job Title:
    Insurance Verification Specialist

    Reports To:
    Insurance Verification Supervisor

    Location:

    Northwest or North-Central Arkansas - Depending on the position, employees may be asked to move locations from time to time based on clinic and patient needs.


    FLSA:
    non-exempt/hourly


    Job Summary:

    The insurance verification specialist is responsible for obtaining verification of all insurance benefits for patients and maintains that information to reflect the most up to date coverage.

    Performs data entry for new patient accounts and/or existing patient accounts. Works closely with patients, insurance companies, and clinical staff members as needed.

    Job Duties / Responsibilities:

    Including, but not limited to, the following:
    Accurate verification of all insurance benefits, and entry of new or updated insurance information for all patient accounts.
    Add/Create new accounts as needed in Registration Overlay (G4).
    Enter new patient demographics and maintain existing patient demographic profiles.
    Review schedule for upcoming new patient appointments (e.g., Chest Clinic, PT/OT, etc.)
    Review Assurance Athens tickets in Unity for eligibility errors.
    Review signature expired list daily for required updates as needed.
    Review patient accounts and insurance profiles to guarantee accuracy.
    Work through returned mail and update addresses, if available
    Work closely with prior authorization coordinators
    Work closely with surgeon teams to discuss past due balances and capture up-to-date benefit coverage for surgery patients.
    Maintain a professional relationship with physician teams.
    Maintain patient/clinic confidentiality.
    Maintain pleasant/helpful attitude towards patients and staff.
    Perform all related duties as required by Revenue Cycle Manager(s), Business Office Director, CFO, and CEO.


    Required Skills/Abilities:
    Knowledge of g4/PM System & OncoEMR.

    Proficient in computer skills.
    Communicates clearly and concisely.
    Ability to navigate numerous insurance portals to review benefit coverage details.
    Ability to work in a fast-paced environment.
    Ability to work independently and as part of a team.
    Ability to maintain good working relationships.
    Demonstrates attention to detail.
    Strong knowledge of medical terminology.
    Demonstrates professionalism in appearance/dress code.

    Certifications/Licenses/Education/or Experience in a related field:

    High School Diploma or equivalent.
    Minimum of 1-2 years of medical office experience, preferred.
    Insurance verification experience preferred.


    Physical Requirements:
    Will require extensive desk use and computer use.
    Light lifting may be required.


    Work Environment:

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job.

    Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

    Due to the nature of our business and the use of radiation and hazardous chemicals, it is imperative that all employees foster a culture and environment of safety.


    Other Duties:
    Please note this job description is not designed to be exhaustive. The employee may be required to perform other duties as assigned.
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