Verification Specialist

The primary responsibility of the Verification Specialist is to ensure that the patient's insurance will cover ambulance

transportation services.

Essential Duties and Responsibilities:

Utilize various resources to locate insurance payers for ambulance transportation

Contact the hospital, patient's family, and/or patient to obtain insurance information

Fax partner hospitals requests for information

Validate and update patient demographics in the practice management system

Responsible for the accurate entry of data into the practice management system

This position requires specialist to spend extended periods of time on the phone with insurance companies

Performing other duties as assigned.

Qualifications:

Proficient with a PC

Experience working with insurance portals

Knowledge of Health Insurance Portability and Accountability Act (HIPAA)

Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)

Knowledge of medical terminology

Knowledge of Medical Billing

Ability to work independently and with a group

Working knowledge of MS Word, Excel

Ability to maintain effective working relationships.

Thorough knowledge of office practices

Ability to type at least 35 words per minute.

Ability to multi-task

Proficiency using 10 key

Education and Experience Requirements:

High School Diploma or GED

Minimum of one year revenue cycle management experience

Physical Requirements:

Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other

federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.

Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local

standards.

The employee may occasionally be required to lift and/or move up to 20 pounds

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,

depth perception, and the ability to adjust focus.

Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and

other physical exertion.

Must be able to talk, listen and speak clearly on telephone.

Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a

motor vehicle.

Travel Time: Negligible

NOTE: The above statements are intended to describe the general nature and level of work being performed by the

person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and

physical demands required of personnel so classified.