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Insurance Verification Specialist

Location: Las Vegas
Posted on: January 26, 2023

Job Description:

Vivida Dermatology is seeking a dynamic team player to join our Front Office department as an Insurance Verification Specialist. The ideal candidate will bring their expertise in customer service, time management, health insurance knowledge and have great attention to detail. Those with specialty clinic scheduling background are encouraged to apply.

  • Verifying insurance coverage of each patient within 3-5 days of scheduled appointment/procedure.
  • Explaining possible payments for services not covered by insurance.
  • Explaining coverages to patients.
  • Updating patient information/keeping records.
  • Entering patient demographics accurately into the EMR system.
  • Verifying referrals are in the system and current if needed.
  • Answer questions, schedule appointments and convey information to front desk team.
  • Responding to patients via phone or emails by the end of the business day or directing to the appropriate department.
  • Handle all aspects of scheduling patients' testing, surgeries (post and pre-op), and procedures including insurance pre-authorization and verifying benefits.
  • Other duties as assigned.
  • Ensure that every patient receives the appropriate paperwork either via email or regular mail including patient portal.
  • Provides patient education per provider protocol.
  • Maintain/update physician(s) schedules and calendar(s).
  • Maintain insurance logs.
  • Establish and maintain effective working relationships with patients, providers, and co-workers.
  • Establish and maintain effective working relationships with external contacts regarding procedure equipment required by the provider.
  • Maintain patient information in an electronic health records and practice management system.
  • Answer messages, emails, and/or voice mails in a timely manner.
  • Compliance with HIPAA guidelines. REQUIRED EXPERIENCE/SKILLS:
    • Ability to work independently on assigned tasks, as well as to accept direction on given assignments.
    • Prior experience working in various insurance portals and understand how to read and interpret EOBs.
    • Familiarity with fee schedules.
    • Familiarity with medical terminology (Dermatology preferred)
    • Work experience with insurance companies
    • Clear communication skills
    • Detail-oriented focus
    • EMR knowledge (Helpful if familiar with EMA/ModMed)
    • Minimum of 1 year insurance verification experience
    • Superior time management skills. -
    • Excellent computer and phone skills are required for this role.
    • Spanish Speaking (Preferred) EDUCATION REQUIREMENTS:
      • High school diploma or equivalent required. **Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
        Vivida Dermatology takes pride in our Vision, Mission, and Core Values that are listed below and we are looking for team members that will do the same. Vision: VIVIDA Dermatology -will be recognized as the National leader in providing high quality, compassionate care to every procedural dermatology patient.
        Mission: VIVIDA Dermatology -provides exceptional care and state-of-the art treatments, giving our patients more confidence to face the future. CORE VALUES
        • Customer Service: Making every patient's experience positive by having empathy and exceeding expectations.
        • Integrity: - Being completely honest and taking responsibility for our actions, both good and bad.
        • Respect: -Treating each other and patients as we would like to be treated.
        • Happiness: - Having a positive attitude and being cheerful, even on bad or stressful days.
        • Efficiency: - Performing each task in the most efficient, cost-effective way while maintaining high quality.

Keywords: VIVIDA DERMATOLOGY, Las Vegas , Insurance Verification Specialist, Other , Las Vegas, Nevada

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