We are growing and are looking for great people to join our great team! Do you thrive in a fast-paced environment? Do you like the healthcare field? Are you detail-oriented?

This position is Monday, Wednesday, Friday in Spring Hill and Tuesday and Thursday in Dickson.

Job Description:
The Insurance Verification Specialist is responsible for the timely verification of medical insurance benefits. Day-to-day activities may include all or some of the essential functions of verifications. As an insurance verification specialist, you must have experience reading and understanding payer eligibility returns from multiple payer sites, and the ability to differentiate between insurance plans, copay, deductible, and coinsurance.
Insurance portals we use are Availity, Cigna, Palmetto GBA, My CGS, UHC, Tricare, Humana Military, HealthSpring, and TNAnytime.

This job requires you to be in the office. This is a full-time position.

Insurance Verification Specialist Responsibilities:

• Collect and review all patient insurance information needed to complete the benefit verification process.
• Document what the benefits are for each patient, obtain updated information when necessary, and make sure there is a current referral on file if needed.
• Verify the patient’s healthcare benefits and coverage levels to make sure the services and procedures required for the patient are covered by the insurance provider.
• Update frequent changes made by each of the payer plans in the system and access the best options available to the providers based on those plans.
• Obtain the pre-authorizations/pre-determinations of benefits for treatment including DME, MRI, CT Scan, etc and notify the medical assistants or the doctors when authorization is received or denied.
• Conduct code specific verification of benefits
• Set up peer to peer physician conversations regarding the necessity of treatment when required for insurance purposes.
• Communicate benefits with patients and let them know what their estimated out of pocket payment responsibility will be and when it is due.
• Communicate benefits with patients, physicians, and front desk staff.
• Back up the front office answering phones, scanning, filing and other duties as needed.

Role Specific Qualifications:

• This position requires an up-to-date understanding of insurance verification procedures
• Ability to work independently and in a fast-paced environment
• Ability to communicate effectively with internal and external vendors and staff
• Encourage and build mutual trust, respect, and cooperation among team members
• An aptitude for numbers and the ability to adapt quickly in an ever-changing industry

Education and Experience Requirements

• High school diploma or equivalent
• +2 year experience working in Insurance Verification

Benefits:

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

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Reliably commute to BOTH Spring Hill and Dickson (Required)

Experience:

• Insurance verification: 2 year (Required)
• Medical billing: 1 year (Preferred)

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

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

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Spring Hill, TN: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Insurance verification: 2 years (Required)

Work Location: One location

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