Insurance Specialist
The Insurance Specialists carries many different responsibilities. They examine the claims and verify insurance eligibility, as well as record any medical charges and other payments or adjustments. This person is also responsible for detecting any coding errors or performing any modifications needed.
Essential Job Functions:
- Performs follow up activity on aging patient billing and claims via payor website or telephone
- Update and obtain medical authorization for payment from insurers
- Obtain information needed to secure payment from third party insurances
- Escalates problem accounts to management
- Follows all work processes, procedures, while maintaining compliance to the organization’s rules and regulations
- Deliver high-quality results in accordance with standards
- Protect and keep all patient and hospital information confidential
- Following all HIPAA, JCAHO, state, and federal laws and standards
- Accepts ownership for all tasks and responsibilities while improving the company’s reputation
- Demonstrates and encourages team behavior and exceptional patient/guest experiences
- Upholds and promotes patient safety and quality
