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Insurance Verification Specialist
Altru Health System
Grand Forks, KSA
Full Time
Entry
Onsite
4 weeks ago
Insurance VerificationMedical TerminologyCustomer ServiceElectronic Medical RecordsMedicare Secondary Payer
Free
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Insurance VerificationMedical TerminologyCustomer Service
About the Role
Altru Health System is hiring an Insurance Verification Specialist to support financial clearance through accurate insurance verification and benefit information. Requires 1 year related experience and high school diploma.
Key Skills for This Role
Insurance VerificationMedical TerminologyCustomer ServiceElectronic Medical RecordsMedicare Secondary Payer
Responsibilities
- Verify insurance and benefit information for patients using online systems and phone communication
- Assign payer plans in the electronic medical record and notify leaders of discrepancies
- Review Medicare accounts for completed Medicare Secondary Payer Questionnaire
- Communicate with patients, clinicians, and front end staff to obtain missing insurance information
- Assist in training new insurance verification staff
Requirements
- High school diploma or equivalent
- Minimum 1 year related experience
- Proficiency in reading, writing, and speaking English
- Associate's degree in Healthcare preferred
Full Job Posting
Summary
- The Insurance Verification Specialist supports financial clearance through accurate and timely verification of insurance and benefit information for patients at Altru Health System.
Essential Job Functions
- Ensures and adheres to strict confidentiality when handling patient charts, records, and registration information.
- Utilizes online systems, phone communication, and other resources to determine eligibility and benefits prior to the date of service.
- Accurately identifies and assigns payer plans in the electronic medical record and notifies appropriate leaders of potential payer or RTE discrepancies.
- Reviews Medicare accounts for completed and accurate Medicare Secondary Payer Questionnaire (MSPQ) to ensure correct filing order.
- Communicates with patients, clinicians, front end staff, and translators to obtain any necessary additional or missing insurance or referral information.
- Coordinates benefits by effectively determining primary and secondary liability when needed.
- Alerts physician offices and patients to issues with verifying insurance or meeting referral requirements.
- Holds proficient understanding of insurance terminology.
- Assists in training new insurance verification staff and front end staff on insurance verification processes.
Education and Experience
- Preferred: Associates Healthcare
- Required: A minimum of 1 year Related Experience
Language Requirements
- This position requires proficiency in reading, writing, and speaking English to ensure effective communication.
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