Job Description

Verification Specialist Supervisor

The Verification Specialist Supervisor ensures complete, accurate, and timely verification of insurance benefits for patient registrations (both private clinic and hospital clinic) and assists clinic staff with completion of insurance benefit verification for all patient evaluations. Aids in creating and implementing training programs for all new team members. Answers questions and support for all direct report verification specialists. Conducts required monthly audits on verifications completed by each direct report. Required to possess exceptional organizational, communication, computer, leadership, training, and time management skills. This position requires simple computer data entry and use of Microsoft Office Products.

Essential Functions

• Obtains necessary information to initiate the insurance verification
• Contacts insurance companies to verify coverage, limits, etc. as directed by
• Communicate and cooperate with clinic
• Become proficient in the use of ICD-10 and CPT codes
• Understand Payor expectations for billing, reimbursement, credentialing, audit.
• Prepares daily productivity report and submits it to the business office
• Assists in the preparation of policies and procedures manuals for verification of benefits.
• Expands knowledge of insurance benefits and program changes related to Medicare, Medicaid, and commercial carriers by reviewing literature, attending seminars, and taking advantage of continuing education
• Assists in creating training documents for all new and existing team members.
• Provides training for all new and existing team members.
• Conducts monthly audits on verifications performed by team members to ensure accuracy.
• May assist with authorization duties and questions

Required Skills and Abilities

• Performs additional duties deemed necessary to the position

Required Credentials

• Ability to type 60 words per minute preferred.
• Strong interpersonal, oral (includes telephone skills) and written communication skills.
• Good organizational skills and an ability to prioritize to meet deadlines.
• Leadership skills
• Complete understanding of medical reimbursement and terminology.
• Ability to work with disabled individuals.
• Working knowledge of all standard office equipment.
• Working Knowledge of insurance and outpatient billing procedures.
• One year of leadership/management experience
• High School Diploma or with courses in bookkeeping and accounting OR an equivalent amount of work experience in a healthcare or related setting.
• 1 to 2 years of medical billing or administration

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