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Therapy Insurance Specialist
Twin Cities Orthopedics. Verify and document insurance information according to current business practices .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification, appointment scheduling, and customer service within a healthcare setting, while ensuring compliance with relevant regulations such as HIPAA and OSHA.
Highest-signal resume keywords
Insurance VerificationAppointment SchedulingCustomer Service ExperienceKnowledge of Health Care Plan RequirementsProfessional Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationAppointment SchedulingDocumentationProblem SolvingKnowledge of HIPAAKnowledge of Stark LawKnowledge of OSHA RegulationsHealth Plan NetworksData EntryResearch Skills
Soft Skills
Professional CommunicationTeam CollaborationTime ManagementLogical ThinkingReliability
Tools & Technologies
Practice Management SystemTelecommunication ToolsEmail Communication
Industry Keywords
Healthcare FacilityPre-RegistrationInsurance VerificationPatient SchedulingCompliance
About the role
Key responsibilities & impact- Verify and document insurance information according to current business practices
- Research denials and report findings to the billing denial team
- Schedule new and existing patients accurately and efficiently in the practice management system
- Answer inbound calls in a timely, pleasant, and professional manner
- Communicate appointment information, directions, check-in times, referral information, and copayments
- Communicate with patients, insurance representatives, clinic personnel, and outside vendors by phone, email, and written documentation
- Maintain working knowledge of health care plan requirements and health plan networks
- Make outbound calls to patients and insurance companies regarding benefit inquiries and authorization details
- Document interactions according to current policy
- Travel as needed for team meetings
- Comply with TCO and therapy policies and procedures
- Complete daily tasks and follow up as designated by the lead, supervisor, or manager
- Contribute to cohesive team relationships
- Follow telecommuting policy requirements when working from home
Requirements
What you’ll need- High School diploma/GED or equivalent
- Customer service experience required
- Previous experience in a healthcare facility related to pre-registration, insurance verification, or appointment scheduling preferred
- Knowledge of health care plan requirements and health plan networks
- Ability to comply with company policies, procedures, practices, business ethics guidelines, applicable laws and regulations, including HIPAA, Stark, OSHA, and employment laws
- Prompt and reliable attendance
- Ability to work efficiently, handle interruptions, meet deadlines, and prioritize workload
- Professional communication skills in face-to-face, phone, and email interactions
- Ability to apply logical thinking to define problems, establish facts, and draw valid conclusions
- Ability to sit for extended periods, up to 8 or more hours per day
- Ability to lift and carry office supplies or files weighing up to 20 pounds
- Visual, auditory, and manual dexterity sufficient for office and communication tasks
Benefits
Comp & perks- Medical plan with Maternity Bundle
- Dental plan
- Vision plan
- Tuition Reimbursement
- 401(k) Profit Sharing
- Employee Assistance Program
- Lifetime Fitness Subsidy
- Car Rental discounts
- Home, Auto, & Pet insurance savings programs
- Remote work after training/performance requirements