Job Description

Olympic Sports and Spine (OSS) is looking for an experienced Insurance Verification and Eligibility Specialist . This position is responsible for the verification of insurance eligibility and benefits for all new patients for all of OSS location's new patients done within a centralized location. This is an in-office position. Performs other daily operating functions associated with the eligibility specialist position. We want a candidate that excels working in a fast-paced medical billing office and wants to work for a company that is committed to providing quality customer service and care to our patients and being a great employer to our employees and wants a job with no weekends required ( Monday - Friday   with hours between 7:30am - 5:00pm .).

JOB RESPONSIBILITIES:

• Verify eligibility and insurance benefits for all of OSS's new patient cases prior to the initial visit.
• Communicate with clinic PSR staff and/or clinic treating staff about any paperwork required to obtain insurance and follow up to ensure the necessary paperwork was completed.
• Performs regular follow-up calls with the insurance company to establish prior authorization.
• Data entry of all insurance benefit information into the EMR system.
• Confirm that all patient registration and demographic information is accurate and correct.
• Contact patients directly to obtain any additional information when necessary.
• Complete patient insurance benefit letters in the EMR system to be printed by clinic PSR staff and given to patients at the initial visit.
• Ensure that all verifications and prior authorizations are complete for the next day's patients before the end of each day.
• Documents detailed notes in the EMR system of all communication with insurance companies, patients, clinic staff, and billing staff.

PERFORMANCE REQUIREMENTS:

• Knowledge of insurances and the verification
• Knowledge of computer
• Knowledge of business office
• Ability to operate a computer, scanner, fax/copy and basic office
• Ability to operate a multi-line telephone
• Skill in answering a telephone in a pleasant and helpful
• Ability to effectively communicate in oral and written format with patients, staff, insurers and referral
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees and the
• Must be well organized, detail-oriented and be able to prioritize.

Education/Experience: Minimum High School graduation or equivalent AND three years of experience in an appropriately related position OR Equivalent education/experience.

BENEFITS:

If you are looking for a great workplace, look no further!

Equal Opportunity Statement

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation.

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