What are the responsibilities and job description for the Insurance Verification Specialist position at Tower Health?
Responsibilities
Under general supervision of the Patient Access Supervisor, this position performs a variety of functions related to the verification process of high dollar accounts that appear on their worklist.
Completes the verification, notification of admission and checks to see if pre certification is required while working closely with the payers and Care Management Department.
Remains aware of payer regulations and strives to ensure necessary steps are taken during patient access functions in an effort to achieve payment of accounts in accordance with current government and payer regulations.
Behaves in a professional manner, using excellent customer service practices in the performance of all duties.
Qualifications
Education Requirements
Experience
Required Skills
Under general supervision of the Patient Access Supervisor, this position performs a variety of functions related to the verification process of high dollar accounts that appear on their worklist.
Completes the verification, notification of admission and checks to see if pre certification is required while working closely with the payers and Care Management Department.
Remains aware of payer regulations and strives to ensure necessary steps are taken during patient access functions in an effort to achieve payment of accounts in accordance with current government and payer regulations.
Behaves in a professional manner, using excellent customer service practices in the performance of all duties.
Qualifications
Education Requirements
- High School Diploma or GED
Experience
- Customer service experience needed
- Healthcare experience a plus
- Work experience in a fast paced environment
Required Skills
- Excellent Communications Skills
- Excellent Interpersonal Skills
- General Clerical Skills
- Keyboarding
- Medical Terminology
- Microsoft Excel
- Microsoft Outlook
- Microsoft PowerPoint
- Microsoft Word
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