Insurance Verification Specialist at Framingham

Job Description

American Personnel has teamed with a rapidly growing innovative, mission driven health & dental practice with over 30 million dollars in revenue. Our client is looking for a qualified Insurance Verification Specialist who is able to thrive in a fast paced, team driven environment. The Insurance Verification Specialist will be responsible for supporting a variety of teams and performing a variety of duties. Qualified Insurance Verification Specialists will be able to function in a fast paced, high volume atmosphere while supporting multiple individuals. Insurance Verification Specialists who feel they are qualified should apply and will be contacted by a recruiter.

Insurance Verification Specialists Responsibilities:

• Receive and review of enrollment materials for completeness
• Provide follow up investigation and/or contact where appropriate to find missing information
• Correctly, completely and efficiently enter data from enrollment materials into company computers/files, modifies existing files as necessary; turnaround time w/in 12 hours of receipt
• Set initial patient appointments as required
• Contact insurance payers to effectively determine individual coverage for services
• Update computer systems with relevant data to be communicated to patient or responsible party and to be used for billing of services and/or products as appropriate
• Communication with Customer Care and Clinical Care Departments as necessary
• Maintain and/or update fee schedules as appropriate; manager oversight/approval required
• Communicate with Sales for new contract development as appropriate
• Monitor daily eligibility checks, working to resolve any issues presented in a timely manner; may require interaction with other departments and external stakeholders
• Update Managers/Supervisors with feedback from customers to improve services or provide recognition of staff members
• Other duties and tasks may be assigned as appropriate or necessary

Job Requirements

Qualifications:

• Minimum of an Associates Degree
• 2 years of applicable experience
• Must be comfortable and effective working with computer applications
• MS Office experience

Country: USA, State: Massachusetts, City: Framingham, Company: American Personnel.