What are the responsibilities and job description for the Insurance Verification and Eligibility Specialist position at Olympic Sports and Spine?
JOB TITLE: Insurance Verification and Eligibility Specialist
ENTITY: Olympic Sports & Spine (OSS)
LOCATION: Tacoma Billing Office
REPORTS TO: Billing Office Manager/Assistant Manager
WORK SCHEDULE: Full-Time Monday- Friday, 8:00 am - 5:00 pm. (No Weekends)
BENEFITS: https://www.osstherapy.com/employee-benefits
Olympic Sports and Spine (OSS) is looking for an individual with experience in the verification of medical insurance who excels working in a fast-paced medical billing office and wants to work for a company that is committed to providing quality customer service and care to our patients and being a great employer to our employees and wants a job with no weekends required (Monday - Friday 8 am - 5 pm.). Then this is the job for you!
SUMMARY OF DUTIES: Responsible for verifying insurance eligibility and benefits and obtaining prior authorization for all new patients for all OSS locations. Performs other daily operating functions associated with the eligibility specialist position.
JOB RESPONSIBILITIES:
- Verify eligibility and insurance benefits for all of OSS's new patient cases prior to the initial visit.
- Obtain prior authorization from the insurance carrier when applicable.
- Communicate with clinic PSR staff and/or clinic treating staff about any paperwork required to obtain insurance and follow up to ensure the necessary paperwork was completed.
- Performs regular follow-up calls with the insurance company to establish prior authorization.
- Data entry of all insurance benefit information into the EMR system.
- Confirm that all patient registration and demographic information is accurate and correct.
- Contact patients directly to obtain any additional information when necessary.
- Complete patient insurance benefit letters in the EMR system to be printed by clinic PSR staff and given to patients at the initial visit.
- Ensure that all verifications and prior authorizations are complete for the next day's patients before the end of each day.
- Documents detailed notes in the EMR system of all communication with insurance companies, patients, clinic staff, and billing staff.
If you are looking for a great workplace, look no further!
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