Job description

General Description

TVG-Medulla, LLC (Medulla) affiliated with Chiro One Wellness Centers, is a high-growth, healthcare organization with 100+ clinics in the Midwest. Each month, we help thousands of patients live happier, healthier lives through our unique model of chiropractic care.

The insurance verification specialist acts as a customer service and quality assurance liaison between our insurance verification coordinators, insurance companies and our clinical teams to ensure that clinical teams are able to present patients with the most accurate insurance benefits and out of pocket cost for their recommended treatment.

Essential Functions and Responsibilities

• Perform quality assurance review/analysis on individual insurance policy benefits prior to insurance verifications being released to clinical teams
• Document and leverage insurance policy coverage patterns to create templates and job aids for verification team
• Review patient accounts against verified insurance benefits to ensure accurate coverage
• Work collaboratively with other teams in the department to ensure a seamless patient financial lifecycle
• Maintain a strong working knowledge of the clinical patient financial lifecycle and intersections between clinical and revenue cycle processes
• Maintain proficiency in insurance verifications forms, protocols, procedures, websites, and proprietary software
• Act as a customer service resource and liaison for clinical teams in need of guidance and explanation on patient insurance benefits and financials
• Perform insurance verification phone calls and web-portal tasks as needed
• Participate cross-functionally with pre-certification tasks as needed
• Notify management of any strange scenarios, possible compliance concerns or recurring issues.
• Maintain a positive and professional work environment.

Minimum Qualifications

• 2+ years of insurance verifications experience
• Strong knowledge of insurance benefits and insurance terminology
• Exceptional verbal and written communication
• Strong attention to detail and organization skills
• Solution-oriented approach to problem-solving
• Proficiency in Microsoft Office

Job Competencies

• Ability to multi-task in a dynamic, fast-faced environment
• Excellent customer service skills
• Passion for delivering high-quality, accurate results and outcomes
• Ability to recognize and leverage patterns to enhance efficiency of workflow
• Ability to think critically

Disclaimer

All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team members may be required to provide necessary information to complete a DMV (or equivalent agency) background check.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Oak Brook, IL 60523: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Work Location: One location

www.colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, www.colinoncars.com is the ideal place to find your next job.