Insurance Verification Specialist and Patient Service Representative (PSR) at TOA Columbia

Columbia, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Dec, 25

Salary

0.0

Posted On

27 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Patient Service, Authorization, Customer Service, Electronic Documentation, Microsoft Office Suite, Communication, Attention to Detail, Organization Skills, Problem Solving, Scheduling, Payment Collection, Referral Knowledge, Precertification, Data Entry, Administrative Tasks

Industry

Medical Practices

Description

Description Position Summary: The Verification of Insurance (VOI) Specialist plays an essential role in supporting our team by verifying benefits, securing authorizations, and assisting with administrative tasks to ensure a smooth and positive patient experience. This is a full-time, non-clinical position based in Columbia, TN. Responsibilities: Verify benefits and obtain authorizations if needed. Cross-train and assist at the front desk, including: Scheduling appointments Assisting with patient check-in/out Completing reports (e.g. task preregistration completion) Collecting account payments and copays Communicate professionally with patients (in person and by phone) and team members to support excellent customer service. Demonstrate working knowledge of: Electronic documentation systems Microsoft Office Suite Place phone calls to patients, patient’s family/significant other, insurance companies, and facility personnel in an attempt to acquire information necessary to verify. Responsible for resolving any issues with coverage, referrals, precertification and escalate complicated issues to the immediate manager. Also, must have a basic knowledge and understanding of what a referral and an authorization are. Enters and ensures information in the insurance fields is correct to its entirety. If incorrect, information in the system must be updated appropriately. This includes moving any VOB’S, authorizations and clinical referrals. If encounters were billed incorrectly to a now corrected insurance, you must email collections so claims can be rebilled if needed. Familiar with a variety of the facility concepts, practices, and procedures. Relies on experience and judgment to plan and accomplish goals. Requirements High school diploma required 2-4 years of experience in insurance verification preferred Must have experience reading and understanding payer eligibility electronic returns, and the ability to differentiate between insurance plans, copay, deductible, and coinsurance Requires accuracy, attention to detail, ability to follow directions, and organization skills TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers

Responsibilities

The Verification of Insurance Specialist verifies benefits, secures authorizations, and assists with administrative tasks to ensure a positive patient experience. Responsibilities include scheduling appointments, assisting with patient check-in/out, and resolving coverage issues.