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Role Description

The Insurance Verification Specialist will provide excellent customer service and documentation while communicating with patients, insurance representatives, clinic personnel, and outside vendors. This position will primarily be responsible for insurance verification and review of patient benefits, sending/receiving and documenting patient charts. This position has the ability to work remotely after 6 months based on performance.

This is a full-time position working Monday-Friday between the hours of 7:00am-5:00pm. Training for this position is in person for 3-6 months at our TCO Stillwater, Edina, Forest Lake offices. After that time period with meeting performance metrics, employee is released to work from home.

• Verify and document insurance information as defined by current business practices.
• Research denials and report findings back to billing denial team.
• Accurately and efficiently schedule new and existing patients in the current practice management system.
• Answer inbound calls in a timely, pleasant and professional manner.
• Communicate all pertinent patient information regarding their call to include; appointment information, directions, check-in times, referral information and copayments.
• Ensure professional communication with patients, insurance representatives, clinic personnel, and outside vendors over the phone, via email or other written documentation and responding to all inquiries.
• Maintain a working knowledge of health care plan requirements and health plan networks.
• Make outbound phone calls to patients and/or insurance companies for benefit inquiries, authorization details and document according to current policy.
• Travel as needed for team meetings.
• Comply with all TCO and therapy policies and procedures.
• Ensure all work is handled in an organized and timely manner as designated by the lead, supervisor or manager.
• Complete daily tasks and follow up each day as designated.
• Demonstrate the ability to work as an effective team member by contributing to the development of cohesive relationships.
• If working at home, follow all requirements in the Telecommuting policy that Therapy Insurance Specialist addendum.
• Any and all other duties as assigned.

Qualifications

• High School diploma/GED or equivalent.
• Customer service experience required.
• Previous experience in a healthcare facility in relation to pre-registration, insurance verification, or appointment scheduling preferred.

Requirements

• Ability to comply with company policies, procedures, practices, and business ethics guidelines.
• Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
• Demonstrate prompt and reliable attendance.
• Work at an efficient and productive pace, handle interruptions appropriately, and meet deadlines. Prioritize workload effectively.
• Communicate respectfully and professionally in face-to-face, phone and email interactions.
• Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions.

Benefits

• Actual starting pay will vary based on education, skills, and experience.
• Comprehensive benefits package including Medical (w/Maternity Bundle), Dental & Vision plans, as well as Tuition Reimbursement for employees working 30+ hours per week.
• All employees, regardless of hours, are eligible for 401(k) w/ Profit Sharing, Employee Assistance Program, Lifetime Fitness Subsidy, Car Rental discounts, Home, Auto, & Pet insurance savings programs & more.

Working Conditions

• Ability to sit for extended periods (up to 8 or more hours per day).
• Frequent use of hands and fingers for typing, writing, and handling documents.
• Occasional standing, walking, bending, or reaching within the office environment.
• Ability to lift and carry office supplies or files weighing up to 20 pounds.
• Visual acuity to read electronic and paper documents.
• Auditory ability to participate in phone or video calls clearly.
• Manual dexterity to operate standard office equipment (e.g., computer, phone, printer).