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