Job Details

Insurance Verification Specialist

The insurance verification specialist is responsible for ensuring accurate patient demographic and insurance information is reported in each claim.

Essential Duties And Responsibilities

• Request hospital face sheet/demographics to obtain payer/demographic information
• Verify payer information and select/add appropriate payer information on all transports
• Check appropriate insurance websites and/or contact the patient on all private pay accounts prior to billing
• Review PCR or face sheets for missing insurance and other pertinent information in relation to billing
• Work and resolve any claim for which a denial was received
• Follow up on rejected claims
• Work returned mail
• Other job-related duties as assigned

Knowledge, Skills, And Abilities

• Strong computer skills with the ability to research and verify information
• Problem solving mindset
• Well organized and detail oriented
• Professional phone skills
• Ability to handle multiple tasks and to prioritize their importance
• Maintain any certification applicable to job functions

Education And Experience Required

• High school diploma or GED
• Minimum of one year of experience in insurance verification or related billing role.
• Minimum of one year of experience in data entry or administrative work within a healthcare or billing environment.
• Emergicon requires satisfactory pre-employment background check and drug screen.