Insurance Verification Specialist
Company: KG Health Partners
Location: Clearwater
Posted on: October 25, 2024
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Job Description:
Overview:Insurance Verification SpecialistSummary: The Insurance
Verification Specialist requires specific knowledge of health
insurance plans, interpretation of benefits, and prior
authorization protocol. Also, general knowledge of data management,
medical practice workflow, and related activity. This job involves
providing administrative assistance to the clinical and billing
teams.Paid TrainingHealth, Dental, Vision, and Life Insurance as
well as Paid Time Off and Paid Holidays!Location: Clearwater, FL
[Highpoint, ICOT]Hours: Monday - Friday,
8:00AM-5:00PMResponsibilities:Essential Duties and
Responsibilities:Eligibility: effectively and accurately verify
active health insurance information and interpretation of benefits
prior to service being rendered.Eligibility: effectively identify
if patients have a Medicare or Medicaid advantage plan or
replacement plan and locate the correct plan
information.Eligibility: effectively and accurately verify that all
patients' insurance plans are active, and the patients are not
listed on the death match file, post date of service.Eligibility:
Effectively and accurately utilize the payer websites to verify
insurance eligibility, such as: SPOT, Medicaid, Availity, UHC, and
other payer websites.Account Maintenance: effectively and
accurately create and maintain patient account information using
face sheet and/or other data provided by servicing
facilities.Document Management: effectively and accurately scan and
index health records including but not limited to: face sheets,
progress notes, insurance verification forms, insurance
cards.Willingness to learn and apply health service concepts as
they relate to interactions with persons served.Ability to
communicate in a clear and effective manner, both orally and in
writing.Ability or willingness to learn, willingness to acquire
functional knowledge of software as needed.Skill in clerical work:
typing, data compilation, filing and including overall attention to
detail and follow through.Ability to maintain
confidentiality.Provide telephone and department support, as
needed.Performs other related clerical duties, as
assigned.Supervisory
Responsibilities:NoneQualifications:Qualifications:Understanding
and effective use of basic principles of administration in a
healthcare environment.Experience in using electronic health record
software, insurance eligibility and electronic billing.Strong
computer skills in including proficiency using EHR, SPOT, Availity,
Navinet and other payer sites.Exceptional communication skills -
both written and verbal.Ability to read, understand, and adhere to
CMS guidelines and compliance.Superior organizational skill,
attention to detail, ability to work without
micro-management.Education and/or Experience:Minimum Experience
Required - One year in insurance verification.Certificates,
Licenses, Registrations:NoneComputer Skills: Proficiency using
software programs such as MS Word, ACCESS, PowerPoint, Excel and
OutlookEnvironmental Factors/Physical Demands:Work is performed in
an office environment. While performing the duties of this job, the
employee is regularly required to have the ability to maintain
active customer and employee communication; access, input and
retrieve information from the computer system; enter alpha-numeric
data into a computerized system often while listening on the
telephone. May be subject to repetitive motion such as typing, data
entry and vision to monitor. May be subject to bending, reaching,
kneeling, stooping and lifting up to thirty (30) pounds.KG123
Keywords: KG Health Partners, Land O' Lakes , Insurance Verification Specialist, Other , Clearwater, Florida
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