Job Information
Sequence Health Insurance Verification Representative in Cullman, Alabama
Sequence Health is working to provide superior patient conversion solutions to healthcare organizations. Our value system is centered around continuously improving the patient healthcare experience. We pride ourselves on hiring team members who can work independently but also enjoy being part of a team and like to continuously learn and grow. We believe you exemplify these qualities and are excited to have you join our team to continue to make a difference for patients and their families.
Are you an effective communicator with a basic knowledge of healthcare insurance? Are you analytical, self-motivated, and interested in joining the growing healthcare field? If so,
Sequence Health has an immediate opening for an Insurance Verification Representative. We are seeking motivated individuals who are eager to join the healthcare industry by helping patients and providers navigate insurance plans and coverage to facilitate the pathway to care. In this role, you will engage with patients and insurance carriers to verify the availability of insurance coverage to position patients to move forward and seek the care they need to improve their quality of life. We are looking for candidates who can work independently, think critically, and have a basic knowledge of health insurance coverage.
Ideal candidates for this position:
Possess a basic understanding of health insurance plans and policies and Medical Terminology
Results oriented
Capable of multi-tasking in a fast-paced environment
Remain calm and courteous under pressure
Excellent verbal and written communication skills
Proficient with technology; precise with data entry
Ability to navigate multiple EMR systems simultaneously
Job Responsibilities
Contacts insurance companies and patients regarding insurance benefits and coverage.
Must have excellent multitasking skills, with the ability to work on projects simultaneously. Must be very detail-oriented and organized to maintain accurate patient insurance records.
Obtain and enter accurate demographic information into Sequence Platform (address, telephone number, name of insurance as required by practice).
Schedule seminar or appointment correctly in Sequence Platform or other scheduling system used by the customer- review seminar/appointment date, time, location, and provider name with the patient.
Inform caller of items to bring to appointment (including insurance card and identification as required by practice).
Remind the caller to arrive 15 to 30 minutes before the scheduled seminar/appointment to complete the paperwork.
Remind caller of cancellation/no-show policy.
Answer questions and offer other information, as requested, to provide patient-focused service.
Meets and exceeds call volume standards.
Adheres to all HIPPA policies.
Act as a liaison for the patients and the Health Center.
Direct calls to other departments as needed.
Serves as a valuable resource to patients, providing pertinent information regarding their coverage.
Use sound judgment in handling calls, especially with upset patients.
Understanding of when to escalate calls to physicians/practice manager/triage nurse.
Communicates with practice via email and written communication regarding coverage.
Provide assistance with callbacks and other projects as call volume permits
Other reasonably related duties as assigned by supervisor or manager.
Locate, Research, and document insurance guidelines and criteria.
Qualifications and Skills
1+ years of healthcare or customer service experience - preferably in a call center environment
1+ years experience in Healthcare Insurance verification required.
Ability to handle confidential and sensitive information
Possesses working knowledge of medical terminology and familiar with insurance and hospital billing policies and procedures
Ability to communicate effectively on the telephone and in written form
Ability to handle a "call center" environment: work quickly and multi-task
Ability to exercise good judgment to handle calls and sensitive information appropriately
Ability to demonstrate good customer service
Ability to arrive at workstation on time, ready to work, and demonstrate minimal absenteeism
Ability to use online resources and tools to educate callers correctly
Ability to follow break and lunch schedules based on call volume and forecasting
Ability to multi-task using several systems and multiple monitors at the same time
Proficient with technology, software applications, and phone systems
Exceptional verbal and written communication skills - positive and proactive, works collaboratively with others to identify opportunities to improve results
Physical Demands
Ability to hear in normal range and wear a headset / ear piece
Good visual acuity to read computer screens, scripts, forms etc
Sits 100% of the time when taking calls
Clear articulation of spoken word is essential to communicate with patient / clients, physicians and other practice staff
Immigration or work visa sponsorship will not be provided
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