Verification of Benefits Specialist

Job Summary:

This vital role involves direct interaction with insurance companies to verify patient eligibility and benefits coverage. The successful candidate will be instrumental in ensuring the accuracy and efficiency of our billing processes.

Duties/Responsibilities:

• Contacts insurance companies via phone to verify patient eligibility and benefits.
• Analyzes and interprets insurance coverage information for accuracy.
• Documents and updates patient records with verified information.
• Collaborate with other team members to resolve discrepancies in patient insurance information.
• Provides support to the billing department by ensuring accurate eligibility information is available for claims processing.
• All other duties assigned by the department supervisor and/or management team.

Required Skills/Abilities:

• Excellent communication and interpersonal skills.
• Strong organizational and time-management abilities.
• Proficiency in healthcare billing software and Microsoft Office Suite.
• Ability to work independently and as part of a team.
• Exceptional attention to detail.
• Proven ability to multitask effectively.
• Comfortable with extended periods of phone communication.
• A strong sense of urgency and commitment to timely task completion.

Education and Experience:

• High school diploma or equivalent required.
• Basic understanding of ICD-10 and CPT codes to accurately interpret patient diagnoses and procedures when verifying benefits
• Knowledge of HIPAA and other healthcare industry regulations.
• Proficiency with electronic health records (EHR) systems and insurance verification platforms.