The Insurance Verification Specialist is responsible for verifying patient insurance coverage, ensuring that all necessary authorizations are obtained, and ensuring the accuracy of patient insurance details in the system. This role ensures that insurance claims are processed efficiently, while playing a key role in minimizing billing errors and reducing claim denials.

Essential Duties & Responsibilities

• Complete review of patient demographics and insurance verification to ensure medical claims are submitted to the appropriate carrier in a timely, accurate, and high-quality manner.
• Monitor account volumes and address backlog work until project completion or reassignment by the manager.
• Assist with the evaluation and resolution of vendors’ escalated claims and claim rework
• Log all client issues encountered in internal tracking system, including enhancement requests, bugs, errors, and inquiries
• Inform management of any client issues or problems
• Submit possible modifications to the process and procedures to prevent claim rework through automation ideas
• Assist in achieving Key Performance Indicator goals for your assigned customer
• Participate in continuing education of applicable software and hardware
• Run reports on assigned accounts and assess trends to improve KPIs and provide feedback to client leads regarding client process improvement opportunities.

Education and Experience

• High School Diploma/GED required
• Associate/Bachelor’s degree preferred

Skills, Knowledge and Abilities

• Knowledge of medical practice processes and workflows
• Ability to use various insurance websites and portals to obtain required information.
• Understanding of US Healthcare
• Excellent interpersonal and communication skills, customer focus, excellent attention to detail and ability to prioritize tasks and meet deadlines.
• Ability to generate and work with reports to independently manage work volume, assess trends, etc. on assigned accounts
• Strong working knowledge of Microsoft Office – Excel, Word, and PowerPoint
• Ability to manage multiple projects simultaneously, and ability to reprioritize based on changing needs

Work Environment/Physical Demands

• While at work, this position is primarily a sedentary job and requires that the associate can work in an environment where they will consistently be seated for the majority of the workday
• This role requires that one can sit and regularly type on a keyboard the majority of the workday
• This position requires the ability to observe a computer screen for long periods of time to observe their own and others’ work, as well as in-coming and out-going communications via the computer and/or mobile devices
• The role necessitates the ability to listen and speak clearly to customers and other associates

Here’s what we can offer you in exchange for your amazing work: 

• Competitive pay
• Medical, dental and vision benefits
• Matching 401(k) 
• Generous paid time-off programs
• Education reimbursement
• Growth potential for your career
• Corporate discounts

At Greenway, we strive to imagine, empower, engage, and inspire. Join us!

To learn more about Greenway, take a video tour of our office, and meet our employees, visit us at www.GreenwayHealth.com/careers.

Disclaimer: This Job Summary indicates the general nature and level of work expected of the incumbent(s). It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent(s) may be asked to perform other duties as requested. Greenway Health, LLC is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, age, gender, national origin, sexual orientation, disability, or veteran status.  

While this position is primarily remote, please note that if you reside within a 26-mile radius of our corporate office, you will be required to work in a hybrid capacity. This means you will be expected to work on-site at the corporate office for part of the week and remotely for the remainder. This hybrid arrangement is designed to foster team collaboration and engagement. Our corporate office is located at 4301 Boy Scout Blvd, Tampa, FL 33607. Please consider your proximity to this location when applying.

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