Insurance Verifications - White Plains

Health Plus Management
White Plains
Oct 16, 2016
Oct 19, 2016
Employer Type
Direct Employer
Employment Type
Full Time
Job Summary:

The Insurance Verification Specialist is responsible for ensuring the facility will be reimbursed for the services performed by verifying eligibility and benefits and obtaining authorizations. Performs verification of insurance benefits by contacting the insurance provider, attorney, employer or patients for additional information and determining eligibility of coverage.

Duties and Responsibilities:

+ Responsible for verification and billing for major medical plans, No fault, Workers Compensatio

+ Obtain all necessary authorizations for recommended treatment per payer requirements; this will include requests for diagnostic testing/surgical procedures.

+ File appeals, if necessary, for authorization requests that are initially denied.

+ Responsible for entering accurate data to ensure that the patients' benefit and authorization information is updated in the organization's practice management system and verify that existing information is correct.

+ Work with patients to explain coverage amounts provided by their insurance policy and discuss financial obligations and payment options when necessary.

+ Assist in the collection of patient copays/coinsurance.

+ Assist billing department with insurance questions or issues.

+ Perform other duties as assigned.


Required Qualifications:

+ Minimum one year of experience in health insurance billing for major medical

+ In-depth knowledge of Commercial Insurance and No Fault/Workers Compensation

+ Knowledgeable with patient EOB's

+ Must be organized, able to prioritize tasks and handle multiple projects

+ Accuracy and attention to detail is essential

+ Must be able to work independently and as a team player

+ Must be proficient in Microsoft Office (i.e., Excel, PowerPoint and Word)

+ Exceptional communication skills (verbal and written).

+ Maintains and conforms to all Privacy Laws regarding patients and practice

+ Communicates with professionalism and accuracy and maintains courteous working relationships with coworkers.


Paid Time off and health benefits available ddacff0365a04975b45bb5f66b7291d1