Insurance Verification Representative (FT- 1.0 FTE, Day Shift Remote Eligible Montana Residents Only)

This position is remote eligible for Montana Residents Only!

Position Summary: 

The Insurance Verification Representative provides insurance verification for insured patients; informing them of financial obligation at time of service and when prior authorization or referrals are required; responds to all internal and external phone calls regarding patients’ insurance verification inquiries. Processes and posts patient payments in an accurate and timely manner in accordance with department policies, procedures and performance goals.

Minimum Qualifications:

• High School Diploma or Equivalent
• Customer service experience
• Preferred: Associates or Bachelor’s Degree or work experience
• Preferred: 2 years of experience working for or with medical insurance companies in a healthcare setting
• Preferred: Experience in verifying eligibility and benefit limits

Essential Job Functions:

• Performs in depth insurance benefit verification with all payer sources to ensure maximum payment for services provided. 
• Coordinates with customers to obtain all information needed, based on medical criteria from the insurance payer, healthcare teams, and customers.
• Ensures insurance related tasks are performed accurately, efficiently, and timely to meet department and company goals.
• Responsible for handling incoming and outgoing calls from internal team members, insurance payers, and patients related to insurance benefits with superior customer service skills.
• Cross train with Patient Access, Billing, and Financial Counseling to ensure smooth work flow and functional coverage.  
• Understand and comply with all applicable Organizational policies and procedures. 
• Processes and posts patient payments in an accurate and timely manner in accordance with department policies, procedures and performance goals. 

Knowledge, Skills and Abilities

• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Strong interpersonal, verbal and written communication skills
• Ability to work varied shifts
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Computer applications, MS Office, EMR, internet applications and standard office equipment
• Ability to analyze, organize and prioritize work while meeting multiple
•  Self-directed, completes assignments accurately, thoroughly and with minimal oversight