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Insurance Verification Specialist

Company: Harbor Health
Location: Austin
Posted on: November 25, 2022

Job Description:

Harbor Health looking for a compassionate Insurance Verification Specialist to become a member of our team. Harbor Health is an entirely new multi-specialty clinic group in Austin, TX utilizing a modern approach to co-create health with those who get, give, and pay for it, allowing everyone to fully flourish. Join us as we build a fully integrated system that connects care to a better payment model that truly puts the human being at the center.The Insurance Verification Specialist is responsible for fielding and resolving consumer financial clearance inquiries via phone and other potential contact methods, obtaining benefits information, verifying that required authorizations are in place, and for meeting timeline standards established by Harbor Health. Expectations of this role include providing exceptional customer service, striving to anticipate and meet the needs of Harbor Health consumers, treating all consumers and colleagues with dignity and respect, and working collaboratively with colleagues to achieve quality and performance standards. Our Insurance Verification Specialist will be responsible for:

  • Maintaining competence and using critical thinking skills to promptly resolve consumer inquires; some interactions may include:
    • Determining eligibility for services
    • Providing price estimates for scheduled services
    • Creating and maintaining payment plans
    • Fielding inquiries about statements and Explanations of Benefits (EOB)
    • Providing financial assistance - -
    • Notifying consumers of canceled or rescheduled visits
    • Addressing customer complaints and resolving issues effectively -
      • Contact insurance companies by phone, fax, or online portal to obtain insurance benefits, eligibility, and authorization information and update systems with accurate information obtained.
      • Communicate to clinical staff of situations where rescheduling is necessary due to lack of authorization or limited benefits and has been approved by clinical personnel.
      • Meet or exceed audit accuracy and productivity standard goals determined by Harbor Health leadership, ensuring that obtained benefits, authorizations, and/or pre-certifications are accurate according to the actual test, procedure, or visit type being performed.
      • Ensure integrity of customer accounts by entering appropriate and accurate data and resolving errors.
      • Ensure all benefits, authorizations, pre-certifications, and financial obligations of customers, are documented on account memos accurately, and in a detailed manner to ensure customers can use their insurance to get the care they need.
      • Assist team with reports and projects to maintain team and individual productivity standards and goals, as directed.
      • Work customer accounts for benefits, monitors accounts for change in insurance status prior to registration, and sends updates to appropriate areas for follow up.
      • Adhere to Harbor Health policies and compliance standards, including HIPAA regulations.Successful Insurance Verification Specialists will have:
        • High school diploma or equivalent
        • Minimum two years of experience in customer service
        • Strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences
        • Demonstrated ability to maintain a customer-centric service approach
        • Ability to independently manage multiple tasks with effective time management and problem-solving skills
        • Strong analytical skills
        • Ability to collaborate and interact with a variety of individuals within Harbor Health, as well as external figures
        • English language proficiencyAdditional Skills & Experiences Preferred include:
          • Associate degree in a related field or equivalent experience
          • One year experience with customer financial services, customer access, customer service, or related area (i.e., registration, finance, collections, customer services, medical office, or contract management)Physical Requirements of the role include:
            • Ability to sit (or stand if preferred) for long periods of time
            • Frequent keyboarding and ability to view a computer for a long period of timeIf you are passionate about health care and you want to create something new together, please apply to be a part of our team!

Keywords: Harbor Health, Austin , Insurance Verification Specialist, Other , Austin, Texas

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