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Insurance Verification Specialist II
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, completing authorizations, and maintaining compliance with HIPAA and safety regulations. Proficient in coordinating workflows in a healthcare environment while utilizing strong organizational and interpersonal skills.
Highest-signal resume keywords
Insurance VerificationAuthorization ManagementHIPAA ComplianceCustomer Service ExperienceHealthcare Environment 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 BillingPre-CertificationEPIC Data EntryOut-of-Network WaiversComputer Proficiency
Soft Skills
Organizational SkillsInterpersonal SkillsDecision-Making SkillsConflict ResolutionNegotiation Skills
Industry Keywords
CMS ComplianceJoint Commission StandardsEMTALAOSHA RegulationsFinancial Clearance Coordination
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 work 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
- Work effectively in a team environment and coordinate workflows with other team members
- Resolve conflicts positively and professionally using listening and negotiation skills
- Comply with safety principles, laws, regulations, and standards associated with CMS, Joint Commission, EMTALA, and OSHA
- Contribute to organizational success through integrity and innovative thinking
- Perform other duties as assigned
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
- Two (2) years of experience in customer service
- Two (2) years of insurance, billing, scheduling experience in a healthcare environment
- Experience working in a healthcare environment preferred
- Proof of legal authority to work in the United States on the first day of employment
- Resume required
- Subject to pre-employment screening, including 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