Insurance Verification Specialist

FT Insurance Verification SpecialistCorporateA tech-enabled, multi-service healthcare organization, EmpowerMe Wellness is on a mission to improve the lives of seniors. We enrich senior living communities nationwide through our fully integrated on-site therapy, diagnostic, pharmacy, and nurse practitioner services. With a team of more than 1,000 clinicians and professionals, we focus on improving wellness and driving positive outcomes from a place of deep compassion and expertise. Headquartered in St. Louis, Missouri, EmpowerMe has a presence in hundreds of communities across the country. You can find out more about us at .Position Summary:As an Insurance Verification Specialist with EmpowerMe you will be responsible for performing insurance verification and health information management tasks. Key functions of this role will involve verification of medical eligibility and coverage of benefits and addressing billing issues related to missing/incomplete documentation and/or charges. The ability to review and collect information in a thorough and detailed manner, as well as timely response and communication, are critical to the success of this position.Essential Duties include the following:The following duties are normal for this position. This list is not to be construed as exclusive or all-inclusive. Other duties may be required and assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.* Obtain preregistration patient demographic information and insurance information required to create a medical record and input collected information into billing software in a complete and accurate manner.* Perform verification of benefits and referral/authorization collection within the assigned region.* Serve as an intermediary between patients and outside sources related to questions or problems which patients may have regarding their insurance benefits.* Organize and transmit necessary documents to referring providers validating and approving the plans of care constructed by the clinical team.* Ensures the prompt return of initial and recertified signed Plans of Care from referring providers.* Perform general business office work including answering phones, retrieving voice mail, and returning calls to patients and providers.* Organize and scan and/or save all paper and/or electronic documents received from outside sources into the EMR accurately.* Review and update patient electronic records ensuring the accuracy of information and identifying missing data.Qualifications, Education, and/or Experience:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required.* Bachelor''s degree or associate degree plus 1 year of professional office experience* or High School diploma or GED plus 2 years of professional office experience (professional office experience in a healthcare setting is preferred).* Must exhibit a very high level of thoroughness & detail orientation.* Goal- and result-oriented, as well as self-motivated with a sense of professional curiosity, desire to learn new things, and to find/recommend solutions to problems.* Excellent communication and interpersonal skills are required.* Must have the ability to work in a fast-paced environment, remain calm in stressful situations, to be flexible, to work well with many interruptions, and have skill in multi-tasking.* Must exhibit and promote a high level of customer service, hospitality, curiosity, and friendliness towards all clients, visitors, and coworkers.* Quickly adapts to change and takes a proactive approach to problem-solving.* Knowledge and understanding of HIPAA and CMS guidelines.* Ability to analyze, interpret and draw inferences from research findings and prepare reports.* Knowledge of and experience with insurance benefit coordination, medical credentialing, and medical billing.* Working knowledge of clinical and/or agency operations and procedures.* Ability to use independent judgment to manage and impart confidential information.* Database management skills including querying, reporting, and document puter Skills:Proficiency in Internet browsers (e.g., Explorer, Chrome, Firefox), as well as advanced knowledge of Microsoft Office programs: Outlook, Excel, Word, and Publisher applications. Experience in working with various EMR and medical billing systems.Work Environment & Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand, sit, stoop, walk, use hands to finger, handle or feel, and reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer.

Created: 2025-10-04