Insurance Verification Clerk

NueHealth•Burnsville, MN

16d

About The Position

This position is responsible for answering calls, benefits verification, and precertification. Customer service should be provided that meets and exceeds internal and external customer expectations. All staff must practice high standards of performance and always maintain superior customer service for all responsibilities.

Requirements

High school diploma or equivalent required
2 years of previous medical office experience required
Working knowledge of MS Office applications which includes Outlook, Word, and Excel required
Ability to interface with the staff at the insurance carriers, HIM, and Business Office staff required
Ability to read, write and understand documents, correspondence, and memos required
Ability to effectively present information one-to-one and in group situations to customers, clients, and other employees in the organization required
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form required
Critical thinking skills required
Effective PC skills required

Nice To Haves

2 years insurance verification/pre-certification experience or related experience preferred. Additional education and/or training will be considered in lieu of experience.
Previous collections experience preferred

Responsibilities

Act as liaison between patient, physician office, and insurance company to assist patients with regards to financial responsibility
Notify all scheduled patients of their financial responsibility prior to their date of service
Verify patient insurance eligibility and benefits using technology tools, the telephone, and the internet to ensure compliance with the facilities policies and procedures
Coordinate with insurance providers and the physician office to obtain pre-authorizations
Document these findings as instructed
Obtain information for medical necessity determination and coordinate with the physician office if additional information is needed
Communicate with patients to obtain any missing information necessary to achieve financial clearance
Perform Benefit verifications on all new patients
Cross train as required to assist with overflow responsibilities
Exhibit flexibility in work schedules and assigned tasks
Maintains minimal error rate
Maintains productivity as requested by BOM
Maintains supplies and forms necessary to perform duties
Obtains and verifies patient demographic and financial information
Participates in group meetings and /or various committees
Makes suggestions on workflow improvements
Notifies BOM of any issues
Maintains a positive attitude toward their position and responsibilities