Insurance Verification Specialist
Novant Health
What We Offer
Job Title: Insurance Verification Specialist
Hours: Monday - Friday 8 - 5PM, In-Office
Job Summary
The Insurance Verification Specialist is responsible for verifying patient insurance coverage, obtaining required authorizations, and supporting hospice operations by ensuring accurate and timely processing of Medicaid, Medicare, and private insurance information. This role requires strong organizational skills, attention to detail, and the ability to manage multiple work queues while providing excellent communication and administrative support.
Key Responsibilities
+ Verify patient insurance eligibility, benefits, and coverage accuracy
+ Obtain and track insurance authorizations as required
+ Manage and prioritize work queues to ensure timely processing of tasks
+ Support hospice operations by coordinating insurance-related workflows
+ Process and manage Medicaid and Medicare enrollment and billing requirements
+ Complete and submit Notices of Election (NOEs) and ensure compliance with all deadlines
+ Receive and respond to incoming phone calls in a professional and courteous manner
+ Handle patient and provider referrals, ensuring accurate documentation and follow-up
+ Communicate with insurance companies, patients, and internal staff regarding coverage and authorization issues
+ Maintain accurate and up-to-date records in electronic systems
+ Perform other duties as assigned to support departmental and organizational needs
Qualifications
+ Education: High School Diploma or GED, required. 2 Year / Associate Degree, preferred
+ Experience: Minimum one year in patient access, registration, billing, insurance and/or pre-certification, any call center or customer service experience, required. Experience with insurance carriers or third party administrators is, preferred.
+ Additional Skills (required): Excellent interpersonal and communication skills, experience and competency in customer relation skills in a professional environment. Ability to organize and prioritize work in a stressful environment. Ability to work effectively/productively as a member of a team and is self-directed in a remote work environment in various types of environments (e.g. onsite corporate locations, remote/home office). Good problem solving skills. Basic medical terminology. Exemplary keyboarding skills and experience in patient registration systems (i.e. Epic) and familiarity with personal computers. Ability to perform several tasks simultaneously. Ability to drive/travel to multiple locations/facilities as needed. Ability to understand how job performance affects the outcomes of key performance indicators such as denials and write-offs.
Work Environment
+ Office or healthcare administrative setting
+ Requires frequent phone communication and computer-based work
Job Opening ID
133269
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