TVG-Medulla, LLC provides support and services to two comprehensive chiropractic care companies, Chiro One Wellness Centers and MyoCore Personalized Pain Care, both industry leaders in evidence-based, patient outcomes-centered care.
The insurance verification specialist acts as a customer service and quality assurance liaison between our insurance verification coordinators, insurance companies and our clinical teams to ensure that clinical teams are able to present patients with the most accurate insurance benefits and out of pocket cost for their recommended treatment.
Essential Functions And Responsibilities
Perform quality assurance review/analysis on individual insurance policy benefits prior to insurance verifications being released to clinical teams
Document and leverage insurance policy coverage patterns to create templates and job aids for verification team
Review patient accounts against verified insurance benefits to ensure accurate coverage
Work collaboratively with other teams in the department to ensure a seamless patient financial lifecycle
Maintain a strong working knowledge of the clinical patient financial lifecycle and intersections between clinical and revenue cycle processes
Maintain proficiency in insurance verifications forms, protocols, procedures, websites and proprietary software
Act as a customer service resource and liaison for clinical teams in need of guidance and explanation on patient insurance benefits and financials
Perform insurance verification phone calls and web-portal tasks as needed
Participate cross-functionally with pre-certification tasks as needed
Notify management of any strange scenarios, possible compliance concerns or recurring issues.
Maintain a positive and professional work environment.
Minimum Qualifications
2+ years of insurance verifications experience
Strong knowledge of insurance benefits and insurance terminology
Exceptional verbal and written communication
Strong attention to detail and organization skills
Solution-oriented approach to problem-solving
Proficiency in Microsoft Office
Job Competencies
Ability to multi-task in a dynamic, fast-faced environment
Excellent customer service skills
Passion for delivering high-quality, accurate results and outcomes
Ability to recognize and leverage patterns to enhance efficiency of workflow
Ability to think critically
Disclaimer
All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Public Health
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