Summerfield & Associates in seeking an Insurance Verification Specialist for a permanent position in Memphis, TN.

Insurance Verification Specialist Requirements

• Between 3-5 years of medical insurance verification or billing experience required
• Understanding and experience with insurance verification process and associated terminology
• Ability to interpret medical policies
• Customer facing experience
• High energy
• Superb communication skills
• High School Diploma Required
• Bachelor’s degree preferred
• Medical billing / coding certifications preferred
• Previous experience including working knowledge of revenue cycle, medical terminology, and insurance claim filing experience
• Ability to resolve issues quickly and efficiently
• Strong organizational skills and an attention to detail
• Strong knowledge and experience with Microsoft Word, PowerPoint, and Excel

Insurance Verification Specialist Essential Duties and Responsibilities

• Responsible for insurance verification and authorization process
• Timely processing of eligibility and benefit verification
• Accurate entry of information
• Customer and sales representative education related to insurance verification's and basic coding and billing for Triad products
• Accurately analyzes medical policy information and payer changes and reports updates and trends as appropriate
• Researches customer and representative reimbursement inquiries
• Maintain and follow policies and procedures
• Maintain efficient tracking and follow-up of pending authorizations to ensure timely resolution
• Perform routine review of outstanding requests
• Maintain confidentiality and privacy of patient information
• Respond to inquiries from insurance companies and providers.
• Serve as point of contact for insurance related questions