Insurance Verification Specialist

LOCATION: 

  • 2100 Exeter Road, Suite 101, Germantown TN

HOURS:

Fulltime: Monday-Friday 8:30 am- 5:00 pm

 

POSITION SUMMARY:

The Insurance Verification Specialist is responsible for verifying insurance eligibility and benefits, i.e., private, Medicare, Workers’ Compensation, PPO and HMO, including secondary claims.  All claims will be coded with CPT and ICD-10 codes according to the findings in the medical record.    General duties include verification of benefits and secondary insurance. Understand managed care contracts and reimbursement process. Additional duties could include chart deficiencies in medical records, answering phones, and other duties assigned.

 

EDUCATION, EXPERIENCE and QUALIFICATIONS:

High School graduate or equivalent.

One to three years’ experience in fast based healthcare setting with third party reimbursement, coding and collections

Computer experience with windows-based patient accounting system

Working knowledge of managed care contracts and patient financial responsibility

Medical billing, coding, and terminology

Willingness to learn in a fast past environment

Excellent interpersonal skills: ability to handle multiple task; self-motivated

 

Qualified candidates should contact:  aephlin@orthosouth.org