Medical Insurance Executive
Med-Metrix
Job Purpose
The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems
Duties and Responsibilities
Utilize payer web portals to obtain patients current insurance information and update the information in the client system
Verify insurance information against patient's insurance cards scanned in client system and ensure the correct and most up to date information is on the patient's account
Once updates are entered in client system, follow procedure on filing the claims
Comment all actions taken in internal and client host system
Work independently from assigned work queues
Meets and maintains daily productivity/quality standards established in departmental policies
Adheres to the policies and procedures established for the client/team
Communicate effectively with leadership
Maintain a professional attitude
Other duties as assigned by the management team
Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Qualifications
High school diploma or equivalent required
Insurance Verification knowledge helpful
Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred
Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere
Ability to work well individually and in a team environment
Strong organizational and task prioritization skills
Proficiency with MS Office. Must have basic Excel skillset
Strong communication skills/oral and written
Strong organizational skills
Working Conditions
Work Set-up: Onsite
Work Schedule: 5:30PM to 2:30AM
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
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