Therapy Insurance Specialist - Twin Cities Orthopedics

The Insurance Specialist will provide excellent customer service and documentation while communicating with patients, insurance representatives, clinic personnel, and outside vendors. This position will primarily be responsible for insurance verification and review of patient benefits, sending/receiving and documenting patient charts.This is a part-time (0.8) position working a variety of shifts and supporting our Hudson location. Our clinic is open Monday - Friday 7:00 am-5:00 pm. This is a remote position.Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i-Health), a group of local medical practices, owned and led by its physicians, on a mission to give patients more control over their healthcare. We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.Essential FunctionsVerify and document insurance information as defined by current business practices.Research denials and report findings back to billing denial teamAccurately and efficiently schedule new and existing patients in the current practice management systemAnswer inbound calls in a timely, pleasant and professional mannerCommunicate all pertinent patient information regarding their call to include; appointment information, directions, check-in times, referral information and copaymentsEnsure professional communication with patients, insurance representatives, clinic personnel, and outside vendors over the phone, via email or other written documentation and responding to all inquiriesMaintain a working knowledge of health care plan requirements and health plan networksMake outbound phone calls to patients and/or insurance companies for benefit inquiries, authorization details and document according to current policyTravel as needed for team meetingsComply with all TCO and therapy policies and proceduresEnsure all work is handled in an organized and timely manner as designated by the lead, supervisor or managerComplete daily tasks and follow up each day as designatedDemonstrate the ability to work as an effective team member by contributing to the development of cohesive relationshipsIf working at home, follow all requirements in the Telecommuting policy that Therapy Insurance Specialist addendumAny and all other duties as assignedEducation And Experience RequirementsHigh School diploma/GED or equivalentCustomer service experience requiredPrevious experience in a healthcare facility in relation to pre-registration, insurance verification, or appointment scheduling preferredEssential RequirementsAbility to:Comply with company policies, procedures, practices and business ethics guidelines.Complete job required training.Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)Demonstrate prompt and reliable attendanceWork in the clinic, office or surgery center during business hours Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be requiredWork at an efficient and productive pace, handle interruptions appropriately and meet deadlinesCommunicate and interact in a respectful and professional mannerPrioritize workload while being flexible to meet the expectations of the daily operationsApply principles of logical thinking to define problems, establish facts, and draw valid conclusionsUnderstand and execute a variety of instructionsEffectively operate equipment and communicate on and operate the phone systemWork independently with minimal supervisionTravel to other work locations, if requiredPerformance Expectations – I-Health’s Core ValuesIntegrity - Do the right thing and take responsibility for what you do and sayService - Consistently contribute to deliver an exceptional experienceQuality - Act with high purpose, committed effort, and skillful execution to exceed expectationsInnovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectivenessTeamwork - Be a part of the whole; support each other positivelyEnvironmental ConditionsClinic/office/surgery center settingNotesInfinite Health Collaborative (i-Health) is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008. This position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.