Position Title: Insurance Verification Specialist
Location: Remote
About Us
BRIDGE Healthcare Partners (BRIDGE) is a not-for-profit organization founded in 2011.
We are a mission-based managed service organization for not-for-profit organizations in the healthcare, community wellness, and childcare services arena.
We provide a framework of services including:
Information Technology (IT)Revenue Cycle Management (RCM)Electronic Health Records (EHR)Position Summary
We are currently seeking an Insurance Verification Specialist to join our growing organization.
The Insurance Verification Specialist performs assigned daily activities of the Insurance Verification team to assist in improving client revenue and educating patients by verifying insurance eligibility, benefits, and prior authorization requirements.
The Insurance Verification Specialist reports to the Insurance Verification Manager and is an advocate of the overall culture, vision, and values of BRIDGE.
To be successful in this role, you must possess the ability to build consultative client relationships, excel at working with internal cross-functional partners, while thriving in a dynamic, team-focused environment delivering against tight deadlines and assigned productivity metrics.
Professional and timely communications with both client resources and patients will be required.
The ideal candidate must be flexible, autonomous/independent, and dependable, thrive on being an advocate for our client(s) by bringing continuous improvement to our team for operational, clinical, and financial process improvements, drive the resolution of identified challenges, and enjoy interacting and collaborating with diverse persons internally and externally daily.
As an employee of BRIDGE Healthcare Partners, you should strive to maximize your performance and contribution to BRIDGE Healthcare Partners and the clients we serve every day.
Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.
Essential Job Functions
Follows organization policies and proceduresFollows client-specific policies and proceduresContacts insurance companies via PM application(s), payer website, or phone to accurately verify eligibility and benefits.
Document obtained data per policy and procedures.Provides superior customer support to our clients and their customers by responding to questions and requests; effectively escalates issues as requiredCommunicate and work with patients to educate them on their benefit information.
Must comprehend minimal CPT4 coding guidelines.Cross-trained to provide department coverage as requestedEffectively assist in training team membersSuccessfully navigate multiple vendors including but not limited to payer websitesUpholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the teamMust maintain professional and consistent communication with the team, client, and patients to ensure all required information is received and documented in a timely manner and within productivity standardsRoutinely collaborate with department managers to correct problems and improve servicesInforms manager of identified issues or trendsMeets specified department performance requirements and productivity metricsManages time and multi-tasks appropriately to meet expectations of management and peersRemote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in an efficient mannerRemote employees are responsible for keeping the work area quiet and organized during scheduled working hours.
Position requires extensive phone communications daily.Other responsibilities as assignedMust be able to work 10am-7pm PST and rotating Sat 8:30am-5pm PST.Minimum Qualifications, Skills, and Abilities:
High School Diploma or equivalency requiredPrior NextGen experience preferredPrior eligibility and insurance verification experience required2+ years' experience in healthcare (professional) billing, health insurance, or equivalent operations work environmentAdhere to all HIPAA guidelinesExcellent communication skills and problem-solving skillsAbility to read and understand insurance benefits and applicable CPT4 codingAbility to manage multiple tasks/projects simultaneously and adapt to frequent priority changesAbility to work both collaboratively and independentlyCapacity to identify and implement improvement opportunities where enhanced processes, technology, or efficiencies can be appliedProficient technical skills and customer satisfaction skills, including ability to troubleshoot products, use MS Office applications and webinar software.Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee may be regularly required to sit, talk, hear, and use hands and fingers to operate a computer, telephone, and keyboard.Specific vision abilities required by this job include close vision requirements due to computer work.Equal Opportunity Employer
BRIDGE Healthcare Partners is proud to be an equal opportunity employer and we are committed to maintaining a diverse and inclusive environment.
All qualified applicants will receive consideration for employment without regard to race, color, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), gender identity, gender expression, age, status of protected veteran, status as an individual with a disability, religion, sexual orientation, national origin, genetic information, or any other protected characteristics as outlined by federal, state, or local laws.
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