Harbor Health Services is seeking a talented Insurance Verification Specialist to join our team at the Harbor Community Health Center in Plymouth.
Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more!
Role:
The Insurance Verification Specialist verifies insurance eligibility for scheduled appointments prior to the date of service using various methods including online portals and calling insurance companies. This position is responsible for confirming patients have active insurance coverage, appropriate PCP/plan assignments, and prior authorizations as required for the date of service to allow Harbor Health to bill for services rendered.
Responsibilities:
Uses online portals or places calls to insurance companies to verify:
o Insurance eligibility
o Appropriate plan and PCP assignment
o Required coverage
Obtains prior authorization for certain services/payers as required.
Reviews EPM reports as they relate to insurance/PCP assignment.
Calculates cash estimates for patients on upcoming visits/procedures.
Contacts patients regarding financial obligations and payment options.
Serves as a patient educator on payment options, placing calls to patients for whom insurance coverage cannot be verified prior to their scheduled appointments.
Discusses options with patients and works closely with the patients and the CHC’s Financial Counselors to ensure the patient has appropriate documentation when meeting with FC as needed.
Accurately enters insurance information into EPM.
Concisely, precisely and accurately documents all information and activity.
Reviews encounters after the date of service to ensure the Patient Access team is following appropriate protocols and coordinates with department leaders to identify and satisfy training needs.
Maintains clear communication with patients, insurance companies, and colleagues.
Maintains strict confidentiality of patient and center-related business.
Requirements:
High School Diploma or equivalent
1 year of experience with insurance verification, patient navigation, and/or health center patient assistance
Skilled in attention to detail
Knowledge of medical and dental insurance
Basic Computer skills, including Microsoft Office 365: Word, Excel, Outlook and Teams, Intermediate level preferred
Excellent data entry skills, verbal and written communication skills
Excellent organization skills and customer service skills
May substitute 1 year of experience for bilingual capacity (English/Portuguese) and third-party billing experience
Bilingual English/Portuguese or Spanish desired
Medical and/or dental billing experience preferred
PLEASE APPLY ONLINE AT:
https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=408d9981-05cb-4530-b223-acff48d0efc8&ccId=19000101000001&jobId=519196&source=CC2&lang=enUS
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
