Insurance Verification Specialist

Descripción completa del empleo

Overview
We are seeking a detail-oriented and proactive Insurance Verification Specialist to join our busy out patient therapy office. In this role, you will be responsible for verifying patient insurance coverage, ensuring compliance with HIPAA regulations, and facilitating smooth billing procedures. This position offers an opportunity to contribute to efficient patient service delivery while maintaining the highest standards of confidentiality and accuracy.

Job Duties/Responsibilities:

· Verify patient insurance coverage, eligibility, and benefits for all physical therapy services.

· Confirm requirements for referrals, prior authorizations, visit limits, deductibles, co-pays, co-insurance and any other patient responsibilities.

· Obtain and track authorizations from insurance carriers to ensure timely submission of required documentation.

· Communicate with insurance representatives to clarify benefit details and resolve discrepancies.

· Inform patients of their insurance coverage, out-of-pocket costs and clinic financial policies.

· Provide accurate cost estimates and discuss payment expectations prior to treatment.

· Answer patient questions related to insurance benefits and financial responsibility.

· Enter insurance and demographic information into JAA EMR system.

· Assist office manager, office coordinators and clinic staff with any day-to-day responsibilities to assist with office efficiency and patient care when time allows.

· Maintain updated knowledge of insurance policies, coverage changes, and payer requirements.

· Collaborate with office manager, clinical director, front-desk, billing and clinical staff to ensure seamless patient flow and implementation of office procedures.

· Support continuous process improvements to optimize office workflow and provide a positive patient experience.

· Learn basic front-office skills, including but not limited to: answering phone, taking messages, checking-in patients, scheduling, collecting co-pays, medical records, checking e-mail, chart construction and discharge process to provide assistance during high volume times and as required for front-desk staff coverage.

Required Education Training and Experience:

· High school diploma or equivalent

· 3-5 years insurance verification experience preferred

· Knowledge of insurance verification platforms required

EOE

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 403(b) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person