Insurance Verification Representative

Experience these exceptional benefits when you join Med-Metrix!

• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Group Life Insurance
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Holiday Gift
• Bereavement Assistance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility

Job Purpose

The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems.

Duties and Responsibilities

Utilize payer web portals to obtain patients current insurance information and update the information in the client system

Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account

Once updates are entered in client system, follow procedure on filing the claims

Comment all actions taken in internal and client host system

Work independently from assigned work queues

Meets and maintains daily productivity/quality standards established in departmental policies

Adheres to the policies and procedures established for the client/team

Communicate effectively with leadership

Maintain a professional attitude

Other duties as assigned by the management team

Use, protect and disclose patients’ protected health information (PHI) in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

High school diploma or equivalent required

Insurance Verification knowledge helpful

Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred

Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere

Ability to work well individually and in a team environment

Strong organizational and task prioritization skills

Proficiency in Microsoft Office Suite. Must have basic Excel skillset

Strong communication skills/oral and written

Strong organizational skills

• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

Work Set-Up:

• Work Schedule: US hours, night shift; must be flexible to accommodate business schools
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

High school diploma or equivalent required

Insurance Verification knowledge helpful

Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred

Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere

Ability to work well individually and in a team environment

Strong organizational and task prioritization skills

Proficiency in Microsoft Office Suite. Must have basic Excel skillset

Strong communication skills/oral and written

Strong organizational skills

• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

Work Set-Up:

• Work Schedule: US hours, night shift; must be flexible to accommodate business schools
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.