Insurance Verification Specialist
Company: Tvg-medulla Llc
Location: Oak Brook
Posted on: January 27, 2023
Job Description:
Job DescriptionGeneral DescriptionTVG-Medulla, LLC (Medulla)
affiliated with Chiro One Wellness Centers, is a high-growth,
healthcare organization with 100+ clinics in the Midwest. Each
month, we help thousands of patients live happier, healthier lives
through our unique model of chiropractic care.The insurance
verification specialist acts as a customer service and quality
assurance liaison between our insurance verification coordinators,
insurance companies and our clinical teams to ensure that clinical
teams are able to present patients with the most accurate insurance
benefits and out of pocket cost for their recommended
treatment.Essential Functions and Responsibilities
- Perform quality assurance review/analysis on individual
insurance policy benefits prior to insurance verifications being
released to clinical teams
- Document and leverage insurance policy coverage patterns to
create templates and job aids for verification team
- Review patient accounts against verified insurance benefits to
ensure accurate coverage
- Work collaboratively with other teams in the department to
ensure a seamless patient financial lifecycle
- Maintain a strong working knowledge of the clinical patient
financial lifecycle and intersections between clinical and revenue
cycle processes
- Maintain proficiency in insurance verifications forms,
protocols, procedures, websites, and proprietary software
- Act as a customer service resource and liaison for clinical
teams in need of guidance and explanation on patient insurance
benefits and financials
- Perform insurance verification phone calls and web-portal tasks
as needed
- Participate cross-functionally with pre-certification tasks as
needed
- Notify management of any strange scenarios, possible compliance
concerns or recurring issues.
- Maintain a positive and professional work environment.Minimum
Qualifications
- 2+ years of insurance verifications experience
- Strong knowledge of insurance benefits and insurance
terminology
- Exceptional verbal and written communication
- Strong attention to detail and organization skills
- Solution-oriented approach to problem-solving
- Proficiency in Microsoft OfficeJob Competencies
- Ability to multi-task in a dynamic, fast-faced environment
- Excellent customer service skills
- Passion for delivering high-quality, accurate results and
outcomes
- Ability to recognize and leverage patterns to enhance
efficiency of workflow
- Ability to think criticallyDisclaimerAll team members agree to
consistently support compliance and TVG-Medulla, LLC policies and
Standards of Excellence with regard to maintaining the privacy and
confidentiality of information, protecting the assets of the
organization, acting with ethics and integrity, reporting
non-compliance, adhering to applicable federal, state, and local
laws and regulations, accreditation, and licenser requirements (if
applicable), and Medulla procedures and protocols. Must perform
other related duties and assist with project completion as needed.
Team members may be required to provide necessary information to
complete a DMV (or equivalent agency) background check.Company
DescriptionTVG-Medulla, LLC provides support and services to two
comprehensive chiropractic care companies, Chiro One Wellness
Centers and MyoCore Personalized Pain Care, both industry leaders
in evidence-based, patient outcomes-centered care.As the largest
privately-owned chiropractic organization in the country, Medulla
provides management resources to these organizations with
full-scale experienced teams of professionals and specialists
including marketing, clinical operations, legal, revenue cycle,
human resources, IT, maintenance and more.by Jobble
Keywords: Tvg-medulla Llc, Chicago , Insurance Verification Specialist, Other , Oak Brook, Illinois
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