What does an Insurance Verification Specialist do?
Published 3 min read
An insurance verification specialist is responsible for contacting insurance companies to verify patient coverage and benefits. They may also be responsible for prior authorization of services, claims processing, and billing.
Insurance Verification Specialist job duties include:
- Verify patient insurance coverage
- Contact insurance companies to obtain prior authorization for services
- Resolve issues with denied claims
- Follow up on unpaid claims
- Keep track of patient appointments and referrals
- File insurance claims
- Answer patient questions about their coverage
- Assist patients with signing up for new insurance plans
- Update patient records with new insurance information
Insurance Verification Specialist Job Requirements
An Insurance Verification Specialist is responsible for verifying patient insurance coverage and benefits. They must have a high school diploma or equivalent, and some positions may require post-secondary education. Certification is not required, but may be helpful. Experience in customer service or a related field is necessary.
Insurance Verification Specialist Skills
- Communication
- Time management
- Organization
- Prioritization
- Detail oriented
- Multitasking
- Customer service
- Data entry
- Insurance verification
- Medical billing
- Knowledge of CPT and ICD-9/10 coding
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How to become an Insurance Verification Specialist
An insurance verification specialist is responsible for verifying patient insurance coverage and benefits. This position requires excellent communication and customer service skills, as well as a strong attention to detail. Insurance verification specialists must be able to work independently and be organized in order to keep track of multiple deadlines.
To become an insurance verification specialist, it is important to have a high school diploma or equivalent. Many employers also prefer candidates who have some experience working in the customer service or administrative field. In some cases, on-the-job training may be provided. It is also beneficial to have basic computer skills and knowledge of medical terminology.
The most important trait of an insurance verification specialist is the ability to effectively communicate with patients, insurance companies, and other members of the healthcare team. Insurance verification specialists must be able to understand and explain complex insurance information in a clear and concise manner. They must also be able to handle difficult customer service inquiries and resolve issues in a timely manner.
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