Insurance Verification Specialist

The Insurance Verification /Self-Pay Representative for Legacy Treatment Services will verify insurance coverage and determine patient responsibility for self-pay accounts. Key duties include verifying patient eligibility, explaining financial obligations to patients, and collaborating with billing and other departments. This role also involves accurate data entry, managing insurance-related issues, and maintaining patient confidentiality in line with HIPAA regulations. 

Key Responsibilities:

• Insurance verification: Contact insurance companies and use online portals to verify patient eligibility, benefits, and coverage for specific procedures. Also verifying if authorization is needed.
• Financial responsibility: Calculate and communicate the patient's estimated out-of-pocket expenses before services are rendered. This includes determining co-pays, deductibles, and co-insurance.
• Data entry and record maintenance: Accurately enter and update patient insurance and demographic information in the patient management or billing system. Add billing notes and messages in the system.
• Patient communication: Answer patient questions about their insurance coverage and financial responsibilities.  Inform clinical staff about any denials or issues.
• Collaboration: Work with the billing department to ensure accurate and timely claims processing and with client access department  for patients needing financial assistance. 

Hours:

This full time position is a hybrid position working 2 days remotely and 3 days in the office.  This position has the following benefits:

• Remote work 2 days per week
• 3.2 weeks of PTO in first year
• Medical, vision, dental & life insurance benefits
• 403(b) employee participation and employer match
• 9 Agency-paid holidays
• Tuition Reimbursement after 1 year

Education/Experience/Skills:

• Education: High School Diploma or equivalent
• Experience: Prior experience in insurance verification, medical billing, or a similar field is often required.
• Skills: Strong communication, problem-solving, and customer service skills are essential for interacting with patients and insurance providers.
• Attention to detail: A high level of accuracy is needed for data entry and verifying complex policy details.
• Medical terminology: Familiarity with medical terminology and insurance policies is crucial.
• Computer proficiency: Proficiency in Microsoft Office and electronic medical records (EMR) systems is typically expected.
• Compliance: Understanding of HIPAA and other privacy regulations is mandatory. 

Legacy Treatment Services is an Equal Opportunity Employer.

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