Insurance Verification Specialist
Welcome to UnitedHealth Group, where we are dedicated to making a meaningful difference in the lives of our customers and communities. As an Insurance Verification Specialist, you will play a crucial role in ensuring accurate and timely verification of insurance coverage for our patients. We are seeking a detail-oriented individual with exceptional communication skills and a strong understanding of insurance policies and procedures. Join our team and help us provide quality healthcare services to those in need.
- Verify insurance coverage for patients by accurately reviewing and analyzing insurance policies and procedures.
- Communicate with insurance companies and patients to gather necessary information for insurance verification.
- Review patient demographic and insurance information to ensure accuracy and completeness.
- Collaborate with healthcare providers to resolve any insurance coverage issues or discrepancies.
- Maintain up-to-date knowledge of insurance policies, procedures, and guidelines.
- Accurately document and enter insurance verification information into the system.
- Follow up on pending insurance verifications and escalate any urgent issues.
- Provide exceptional customer service to patients and healthcare providers regarding insurance coverage inquiries.
- Maintain confidentiality of patient information in accordance with HIPAA regulations.
- Collaborate with billing and coding departments to ensure accurate and timely submission of claims.
- Complete other administrative tasks as needed to support the insurance verification process.
- Contribute to team meetings and provide suggestions for process improvement.
- Comply with company policies, procedures, and regulations.
- Demonstrate a commitment to quality and accuracy in all aspects of the job.
- Uphold the company's mission and values in all interactions with patients, colleagues, and other stakeholders.
Strong Understanding Of Insurance Verification Processes: The Ideal Candidate Should Possess A Deep Understanding Of Insurance Verification Processes, Including Knowledge Of Different Types Of Insurance Plans, Coverage Limitations, And Verification Procedures.
Familiarity With Medical Terminology And Coding: A Successful Insurance Verification Specialist Should Have A Solid Understanding Of Medical Terminology And Coding Systems, Such As Icd-10 And Cpt Codes. This Knowledge Is Crucial For Accurately Verifying Insurance Coverage And Processing Claims.
Excellent Communication Skills: The Role Of An Insurance Verification Specialist Requires Constant Communication With Healthcare Providers, Insurance Companies, And Patients. Strong Verbal And Written Communication Skills Are Essential For Effectively Conveying Information And Resolving Any Issues That May Arise.
Attention To Detail And Accuracy: Insurance Verification Involves Handling A Large Amount Of Sensitive Information, Such As Patient Records And Insurance Policies. A Qualified Candidate Should Have A Keen Eye For Detail And Be Able To Accurately Enter And Verify Data To Ensure The Correct Coverage And Benefits Are Obtained.
Experience With Insurance Verification Software: Most Insurance Verification Processes Are Now Automated, And Knowledge Of Popular Software Programs, Such As Epic Or Nextgen, Is Highly Desirable. Candidates With Previous Experience Using These Systems Will Have An Advantage In The Application Process.
Communication Skills
Data Entry
Time Management
Multitasking
Attention to detail
Problem Solving
Organizational Skills
customer service
Analytical Thinking
Medical Terminology
Insurance Knowledge
Communication
Conflict Resolution
Leadership
Time management
creativity
flexibility
Teamwork
Adaptability
Problem-Solving
Empathy
According to JobzMall, the average salary range for a Insurance Verification Specialist in Chicago, IL, USA is between $45,000 and $60,000 per year. This range can vary depending on factors such as the employer, experience, and specific job duties. Some higher-paying positions in this field may offer salaries upwards of $70,000 per year.
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UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.
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