Insurance Verification Representative Med-Metrix
Overview
Own accurate insurance verification data for client systems while collaborating with cross-functional teams. Meet quality standards and maintain confidentiality under HIPAA guidelines. This role drives efficient claim processing through precise data management.
What You'll Do11
- 1Utilize payer web portals to retrieve current insurance details and update client records
- 2Verify coverage using scanned insurance cards and validate information accuracy
- 3Process filed claims following established internal procedures
- 4Document all system actions for audit purposes
- 5Maintain independent workflow within assigned task queues
- 6Demonstrate professionalism when interacting with leadership
- 7Communicate effectively about progress and challenges
- 8Adhere to client-specific policies and security protocols
- 9Protect patient health information according to HIPAA regulations
- 10Limit PHI access to essential functions only
- 11Contribute to improving documentation accuracy and system efficiency
Requirements11
- 15+ years experience with insurance verification processes
- 2Proficiency in practice management software platforms
- 3Knowledge of major payor verification systems
- 4Familiarity with secure document handling practices
- 5Ability to work autonomously with clear expectations
- 6Strong analytical skills for problem-solving
- 7Excellent communication abilities across organizational levels
- 8High level of integrity and accountability
- 9Competence with Microsoft Office applications
- 10Understanding of healthcare compliance requirements
- 11Dedication to maintaining confidentiality and privacy standards
Salary Insight
$42 - $48k per year
Location
Required Skills
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