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Insurance Verification Specialist
University of Arkansas SystemInsurance Verification Specialist verifying insurance benefits and processing authorizations for UAMS. Responsible for registration and billing work queues with compliance to HIPAA.
About the role
Key responsibilities & impact- Verifying insurance benefits, processing authorizations and pre-certifications
- Working appropriate registration and billing work queues
- Demonstrate competency in the job elements
- Conducts verification of eligibility and benefits for patient insurance
- Completes authorizations and pre-certifications, tracks pre-authorizations and maintains referrals
- Enters benefit and authorization information into EPIC
- Initiates peer-to-peer submissions and works closely with clinical counterparts to collect requested information
- Obtains and coordinates completion of out of network waivers
- Coordinates with UAMS Office of Financial Clearance when appropriate
- Work effectively in a team environment, coordinating workflows with other team members and ensuring a productive and efficient environment
- Deals with conflicts in a positive and professional manner using careful listening and negotiation skills to resolve disagreements
- Comply with safety principles, laws, regulations, and standards associated with, but not limited to CMS, Joint Commission, EMTALA, and OSHA
- Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization
- Other duties as assigned
Requirements
What you’ll need- High school graduate, GED, or formal education equivalent
- Excellent organizational Skills
- Interpersonal skills
- Decision-making skills
- Must maintain confidentiality and HIPAA compliance.
- Highly motivated and self-directed individual to establish plans of action
- Highly proficient in computer and keyboard skills
- Four (4) years of experience in customer service, call center, business office administration, registration, billing, insurance, or scheduling
Benefits
Comp & perks- Health: Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement: Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance verificationauthorization processingpre-certificationbillingEPICpeer-to-peer submissionsout of network waiversfinancial clearance coordinationcomputer skillskeyboard skills
Soft Skills
organizational skillsinterpersonal skillsdecision-making skillsconflict resolutionlistening skillsnegotiation skillsintegrityinnovative thinkingteamworkself-directed
Certifications
GEDHIPAA compliance