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Insurance Verification Specialist I
University of Arkansas System. Verify eligibility and benefits for patient insurance .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in verifying patient insurance eligibility and benefits, completing authorizations, and maintaining compliance with regulations such as HIPAA and EMTALA. Proficient in utilizing EPIC for data entry and coordination within a healthcare environment to enhance operational efficiency.
Highest-signal resume keywords
Insurance VerificationAuthorization ManagementEPIC Data EntryHIPAA ComplianceCustomer Service Experience
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 VerificationAuthorization ManagementData EntryComputer SkillsHealthcare Administration
Soft Skills
Organizational SkillsInterpersonal SkillsDecision-Making SkillsConflict ResolutionNegotiation Skills
Tools & Technologies
EPIC
Industry Keywords
CMSJoint CommissionEMTALAOSHAHealthcare Environment
About the role
Key responsibilities & impact- Verify eligibility and benefits for patient insurance
- Complete authorizations and pre-certifications, track pre-authorizations, and maintain referrals
- Enter benefit and authorization information into EPIC
- Initiate peer-to-peer submissions and collaborate with clinical counterparts to collect requested information
- Obtain and coordinate completion of out-of-network waivers
- Coordinate with UAMS Office of Financial Clearance when appropriate
- Coordinate workflows with team members to ensure a productive and efficient environment
- Resolve conflicts professionally using listening and negotiation skills
- Comply with safety principles, laws, regulations, and standards including CMS, Joint Commission, EMTALA, and OSHA
- Contribute to organizational success through integrity and innovative thinking
- Perform duties inside a medical facility environment, including frequent standing, sitting, bending, reaching, and handling up to 25 lbs
Requirements
What you’ll need- High school graduate, GED, or formal education equivalent
- Excellent organizational Skills
- Interpersonal skills
- Decision-making skills
- Must maintain confidentiality and HIPAA compliance
- Highly motivated and self-directed individual to establish plans of action
- Highly proficient in computer and keyboard skills
- Four (4) years of experience in customer service, call center, business office administration, registration, billing, insurance, or scheduling
- Experience working in a healthcare environment (preferred)
- Proof of legal authority to work in the United States on the first day of employment
- Subject to pre-employment screening (criminal background, drug testing, and/or education verification)
Benefits
Comp & perks- Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy