Insurance Verification Representative

4 days ago

Chennai Tamil Nadu, India Med-Metrix Full time

Job Purpose
The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems

**Responsibilities**:
Utilize payer web portals to obtain patients current insurance information and update the information in the client system
Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account
Once updates are entered in client system, follow procedure on filing the claims
Comment all actions taken in internal and client host system
Work independently from assigned work queues
Meets and maintains daily productivity/quality standards established in departmental policies
Adheres to the policies and procedures established for the client/team
Communicate effectively with leadership
Maintain a professional attitude
Other duties as assigned by the management team
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

**Qualifications**:
High school diploma or equivalent required
Insurance Verification knowledge helpful
**Experience with practice management software**: GE Centricity, EPIC PB, Cerner, Allscripts preferred
Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere
Ability to work well individually and in a team environment
Strong organizational and task prioritization skills
Proficiency with MS Office. Must have basic Excel skillset
Strong communication skills/oral and written
Strong organizational skills
Working Conditions
- Work Set-up: Onsite
- Work Schedule: 5:30PM to 2:30AM

**Physical Demands**: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
**Mental Demands**: The employee must be able to follow directions, collaborate with others, and handle stress.
**Work Environment**: The noise level in the work environment is usually mínimal.

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