**Role & seniority: ** Insurance Verification Representative (entry-level / non-specified seniority)

**Stack/tools: **

Payer insurance verification web portals (e.g., eviCore, Navinet, Novitasphere)
Practice management/EHR systems: GE Centricity, Epic PB, Cerner, Allscripts
MS Office: Excel (basic)
Internal/client host systems; HIPAA/PHI handling tools/processes
Top 3 responsibilities:
1. Use payer web portals to retrieve current insurance details and update client systems.
2. Validate insurance info from scanned insurance cards vs payer data; ensure most up-to-date coverage on patient accounts.
3. After updates, follow claim-filing procedure and document/comment actions in internal and client systems.
Must-have skills:
- Strong organization and task prioritization; ability to work independently from queues
- Written and verbal communication for leadership/coordination
- Basic Excel and general MS Office proficiency
- Knowledge/ability to work with insurance verification workflows
- HIPAA/PHI compliance (proper use/protection/disclosure)
Nice-to-haves:
- Prior experience with insurance verification
- Experience with practice management software (GE Centricity, Epic PB, Cerner, Allscripts)
Location & work type: Onsite; schedule 5:30 PM–2:30 AM (overnight)

Full Description

Job Purpose

The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems

Duties and Responsibilities

Utilize payer web portals to obtain patients current insurance information and update the information in the client system Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account Once updates are entered in client system, follow procedure on filing the claims Comment all actions taken in internal and client host system Work independently from assigned work queues Meets and maintains daily productivity/quality standards established in departmental policies Adheres to the policies and procedures established for the client/team Communicate effectively with leadership Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

High school diploma or equivalent required Insurance Verification knowledge helpful

Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere Ability to work well individually and in a team environment Strong organizational and task prioritization skills Proficiency with MS Office. Must have basic Excel skillset Strong communication skills/oral and written Strong organizational skills

Working Conditions

Work Set-up: Onsite

Work Schedule: 5:30PM to 2:30AM

Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.

Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.

Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.