Verification Support Specialist

Position Summary:

We are currently seeking a meticulous and highly organized Insurance Verification Support Specialist to join our esteemed team. In this pivotal role, you will be tasked with diligently verifying patients' insurance benefits through direct communication with insurance companies via telephone and by leveraging various insurance web portals. Your overarching objective will be to ensure the precise and timely verification of insurance benefits, thereby streamlining our billing procedures and furnishing patients with accurate cost estimates.

Job Details:

• Work from Home
• Monday to Friday | 9 PM to 6 AM Manila Time
• *Following US Holidays

Responsibilities:

• Execute thorough verification of patients' insurance benefits by initiating contact with insurance companies through telephonic means.
• Employ a range of insurance web portals to cross-reference benefits as needed, ensuring utmost accuracy.
• Furnish insurance representatives with a comprehensive breakdown of benefits requisite for our service delivery and billing procedures.
• Enter quoted benefits directly into the Appleseed EMR system VOI form, encompassing individual/family deductible amounts and accumulations, individual/family out-of-pocket maximum amounts and accumulations, copays, co-insurances, visit limits, dollar limits, and any supplementary restrictions.
• Complete the Patient Financial Responsibility (PFR) form, offering patients cost estimates for their initial visit and subsequent appointments based on their benefits and the contracted rates with their specific insurance payer.
• Interpret and analyze provided benefit details, adhering to established workflows to ensure meticulous documentation.
• Effectively liaise with internal teams to procure any additional information necessary to conclude the verification process promptly, ensuring timely acquisition of pertinent details from the patient.
• Uphold productivity benchmarks by aiming to fulfill 65-75 verification of insurance (VOI) requests per day.

Qualifications:

• High school diploma or equivalent required; Bachelor's degree preferred.
• Prior experience in insurance verification or a related field is advantageous.
• Exceptional communication skills, both verbal and written.
• Demonstrated excellence in organizational prowess and attention to detail.
• Proficient multitasking abilities, coupled with adept prioritization of workload.
• Competency in computer utilization and adept navigation of web portals.
• Familiarity with medical terminology and insurance billing processes is preferred.
• Ability to function autonomously and collaboratively within a dynamic, fast-paced environment.