Job Description

Job Purpose



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



Duties and Responsibilities



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



High school diploma or equivalent required



Insurance Verification knowledge helpful

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



Working Conditions



Work Set-up: Onsite Work Schedule: 5:30PM to 2:30AM

Physical Demands:

While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.

Mental Demands:

The employee must be able to follow directions, collaborate with others, and handle stress.

Work Environment:

The noise level in the work environment is usually minimal.



Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.