Insurance Verification Specialist

About the role

Xploy Solutions is hiring an Insurance Verification Specialist, also described as a Benefits Verification Specialist. The role verifies medical, workers’ compensation, and auto benefit reports for primary and secondary payers for managed care patients. The Verifications Specialist reports to the Director of Verifications.

Responsibilities

• Learn and understand the training provided upon onboarding.
• Review the queue of benefits for open client requests throughout the day and use Guided Care software to manage verification requests.
• Complete an average of 65 verifications per day at 90 days of hire and 85 or more per day after 120 days of hire.
• Maintain an error rate of less than 2 per month after 120 days of hire and an average of 65 or more verifications per day at 365 days of hire.
• Maintain a turnaround of less than 15 minutes per client-requested verification.
• Participate in monthly one-to-one meetings with leadership.
• Help colleagues and handle additional verifications from the team’s pool during downtime or a lull in individual caseload.
• Communicate respectfully with colleagues and leadership, and respond to all client requests by email by the end of the day.
• Maintain 100% attendance, follow human resources policies for time clock and paid time off, and practice company principles (GUIDE) in work-related interactions.

Requirements

• High school diploma or GED.
• Independent and self-motivated, with the ability to multitask while entering data and holding a phone conversation.
• Innovative, detail-oriented, and equipped with strong research and organizational skills.
• Thrives in a fast-paced, high-pressure environment.
• Collaborative with the team and clients, and able to work remotely and autonomously.
• Strong time management and a proven ability to meet deadlines.
• Ability to communicate and exchange information and ideas so others will...

Datos clave

• High school diploma or GED required.
• Verifies medical, workers’ compensation, and auto benefit reports for managed care patients.
• The Verifications Specialist reports to the Director of Verifications.