Insurance Verification Manager

Job Summary

The Insurance Verification Manager will be responsible for overseeing the insurance verification process, ensuring timely and accurate verification of patient insurance eligibility and benefits. This role involves managing a team, optimizing workflows, and leveraging advanced features to enhance operational efficiency and patient experience.

 

Key Responsibilities:

• Supervise and mentor the insurance verification team, setting performance goals and conducting regular evaluations.

• Provide training and support to team members on insurance verification tools and best practices.

• Ensure timely verification of patient insurance eligibility, benefits, coverage levels, exclusions, and limitations.

• Monitor and manage the verification process, addressing any discrepancies or issues promptly.

• Utilize efficient scheduling and patient list management techniques to prioritize verification tasks.

• Implement and maintain insurance templates to streamline data entry and reduce errors.

• Coordinate with other departments to ensure seamless integration of insurance verification with scheduling, billing, and patient care.

• Communicate with insurance providers to resolve verification issues and stay updated on policy changes.

• Generate and analyze reports on verification metrics, claim statuses, and aging balances.

• Ensure compliance with HIPAA and other regulatory requirements in all insurance verification activities.