Medical Insurance Verification Specialist

Orthopaedic Medical Group of Tampa Bay is a healthcare company that provides orthopaedic care and skilled physical therapy. We offer a full range of services for clients with orthopedic problems, work-related injuries, sports injuries, and various orthopaedic conditions. We strive to provide quality care to our patients, a warm work environment where patients and employees can prosper.

We are looking for a full-time Medical Insurance Verification Specialist to join our team in our facility located in Lithia, Fl.

QUALIFICATIONS:

Knowledge: Must have knowledge of the mission, vision, values, and commitments of the Orthopaedic Medical Group of Tampa Bay. Knowledge of the following is required: Principles of customer service, clerical procedures, obtaining referrals, medical ethics, medical record administration, appointment booking, guidelines for release of medical information, and applicable information systems.

Education: Successful completion of the approved Medical Assistant or Medical Admin Program is desired.

Training: Completion of American Heart Association Cardiopulmonary Resuscitation Course is mandatory. Working knowledge of introductory word processing and database operations is preferred. Completed checklist for all administrative and EMR processes.

Essential Duties and Responsibilities:

• Reviews, files and coordinates medical information.
• Completes required data entry to electronic medical record.
• Receives and distributes information in a timely and efficient manner to facilitate continuity of care.
• Maintains health records and storage and retrieval system.
• Participates with OMG members in providing, assessing and improving customer services/relations with our customers.
• Verify Insurance for medical and orthopedic benefits via payer websites or telephone.
• Determines coverage of benefits and calculates patient responsibility for services scheduled.
• Enters insurance information into EHR and notifies clinics of any coverage or benefits issue.
• Determines if pre-certification or prior authorization is required from insurance company.
• Follows up on pending or expired authorizations.
• Preps and completes all medical charts before the assigned provider’s scheduled appointments.
• Collects co-pay, paperwork and any other monies required to be paid by patient.
• Documents, in detail, phone calls, phone number, person spoken to and call details on a consistent basis.
• Assist patients with minor concerns/complaints and elevate as necessary.
• Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations and medical codes.
• Shares knowledge gained with other staff members and works as a team member.
• Reviews all patient demographics to make sure it matches the EMR system.
• Interacts with others in a positive, respectful, and considerate manner.
• Enters data into the EMR system as necessary, ensures completion of patients’ record on a daily basis.
• Ensures proper management, security, the confidentiality of medical records.
• Will be personally accountable to ensure correct data is entered into the electronic record system and completion of daily duties.

Work Environment

This job operates in a professional clinical environment. This role routinely uses standard office equipment such as computers, tablets, phones, photocopiers, filing cabinets, and fax machines. Ability to work a flexible schedule.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Stress can be triggered by workload and complex cases. Occasional stress caused by multitasking, level of responsibility, and workload.

POSITION TYPE/EXPECTED HOURS OF WORK: This is a full-time, non-exempt position. Days and hours of work are Monday through Friday, 8 am to 5 pm but may vary. Occasional overtime may be required and/or hours may be shortened as business needs dictate.

Job Type: Full-time

Pay Range: From $16.00 to $18.00 per hour

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $16 - $18