Medical Insurance Verifier

The Insurance Verification Representative is responsible for obtaining and providing accurate and
complete data input for insurance verifications in clients host systems.
• 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
• Insurance Verification knowledge is preferred
• 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