Insurance Verification & Collections Specialist

Description

The Insurance Verification and Collections Specialist insures medical insurance is entered correctly, verifying active insurance coverage and verifying accuracy of all patient registration information. 

This is an IN-OFFICE position, Monday through Friday from 8:30a - 5p. 

This role offers medical, dental, and vision insurances, PTO, continuing education funds, birthday time off, and other benefits. 

This role offers medical, dental, and vision insurances, PTO, continuing education funds, birthday time off

Pay for this position is between $20 - 

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Verify eligibility      on all patients on the resource schedule for the following day; ideally      working two days ahead
• Conduct a      registration audit requiring all necessary information is present on the      account to bill insurance correctly and timely, i.e. copy of insurance      cards, driver’s license, current mailing address and a good phone number
• Check all patient      provided updated demographic information obtained through virtual check in      is documented timely in the chart 
• Enter the circle      of care, emergency contact and HIPAA information in all new patient charts      after their initial visit
• Follow up on all      patient accounts with incorrect or incomplete information- demographic and      insurance
• Create patient      charts after trauma/ emergent surgeries- gather information to create a      complete patient chart; Requires searching hospital databases to obtain      information necessary to bill (i.e. Place of service, Date of injury etc.)      for these patients as necessary; This may require reaching out to the patients      at regular intervals and documenting all attempts. 
• Communicate timely      with patients and staff regarding all registration and insurance      verification questions
• Call patients for      new addresses when VSON receives returned mail
• Be able to update      insurance timely on rejected claims, upload the new insurance and resubmit      claims
• Generate and      process all patient statements on a weekly basis
• Report accounts to      our pre-collection company according to VSON policy on a weekly basis
• Verify and approve      all accounts moving from soft collections to hard collections according to      VSON policy on a weekly basis
• Remove accounts      from soft/hard collections based on VSON policy
• Provide further      documentation to the collection agency regarding patient accounts upon      their request
• Documenting     ��accounts that meet the past due policy of VSON
• Documenting bad      debt on accounts according to policy
• Posting collection      agency payments to the patient’s account
• Be able to explain      payment and billing policies.
• Be able to explain      basic insurance concepts to patient inquiry.

· Interacts professionally with patients and their family members. Assists with patient account inquiries and resolutions. 

• Be able to assist      other team members in various billing tasks i.e. printing, mailing claims,      creating patient charts, posting payments
• Meet the Company’s      expectations as described in the VSON Handbook

· Maintain confidentiality of Personal Identifiable Information (PII) in accordance with company Policies and State and Federal laws, including OHSA and HIPAA regulations.

• Maintains work      area in a neat and orderly manner.
• Works as a team      player with co-workers.
• Attends meetings      as required.
• Performs related      work as required.

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Typical Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Work may require sitting for long periods of time, also stooping, bending and stretching for supplies with occasional lifting of files or paper weighing up to 50 pounds.

Requires manual dexterity sufficient to operate a keyboard and mouse, operate a calculator, telephone, copier, scanner and other office equipment as necessary.

Vision must be correctable to the normal range and hearing must be in the normal range for telephone contact. Specific verbal abilities required by this job include audible and coherent speech.

Is necessary to view a computer monitor for long periods of time.