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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 healthcare regulations. Proficient in utilizing EPIC for data entry and coordination of workflows in a healthcare environment.
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 BillingPre-CertificationOut-Of-Network WaiversDecision-MakingComputer Proficiency
Soft Skills
Organizational SkillsInterpersonal SkillsConflict ResolutionSelf-Motivation
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
CMS ComplianceJoint Commission StandardsEMTALAOSHA StandardsHealthcare 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 the UAMS Office of Financial Clearance when appropriate
- Coordinate workflows with team members to ensure a productive and efficient environment
- Resolve conflicts professionally through listening and negotiation
- Comply with CMS, Joint Commission, EMTALA, OSHA, and related safety standards
- Contribute to organizational success and perform other duties as assigned
Requirements
What you’ll need- High School Diploma/GED
- Two (2) years of experience in customer service
- Two (2) years of insurance, billing, scheduling experience in a healthcare environment
- Excellent organizational and interpersonal skills
- Well-developed decision-making skills
- Must maintain confidentiality and HIPAA compliance
- Highly motivated and self-directed
- Highly proficient in computer and keyboard skills
- 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