Virtual Assistant

Virtual Insurance Verification Assistant

Looking to hire your next Virtual Insurance Verification Assistant? Here’s a full job description template to use as a guide.

About Vintti

Vintti is a staffing agency dedicated to boosting the economic efficiency of US companies. We provide access to a diverse range of skilled Latin American professionals, allowing businesses to build robust teams without the traditional high costs associated with domestic hiring. Our model supports companies in maximizing their resources, driving innovation, and achieving sustainable growth.

Description

A Virtual Insurance Verification Assistant plays a crucial role in the healthcare and insurance industries by ensuring the accuracy and validity of insurance information provided by patients. This role typically involves remotely accessing secure databases to verify coverage details, eligibility, and benefits. By liaising with insurance companies and healthcare providers, these professionals help prevent billing errors, reduce claim denials, and streamline the administrative process. Their work supports healthcare providers in delivering a smooth patient experience by ensuring that financial aspects are accurately managed from the outset.

Requirements

- High school diploma or equivalent; associate's or bachelor's degree in a related field preferred
- Minimum 2 years of experience in insurance verification, medical billing, or a related field
- Strong understanding of medical insurance terminology, coverage benefits, and eligibility requirements
- Proficiency in using electronic health records (EHR) systems and insurance portals
- Excellent communication skills, both written and verbal
- Strong analytical and problem-solving abilities
- High attention to detail and accuracy
- Ability to manage multiple tasks and work under pressure
- Strong organizational and time management skills
- Proficiency with Microsoft Office Suite (Word, Excel, Outlook)
- Ability to work independently and as part of a remote team
- Familiarity with HIPAA regulations and maintaining patient confidentiality
- Customer service-oriented with a professional demeanor
- Strong commitment to continuous learning and improvement
- Reliable internet connection and suitable home office setup

Responsabilities

- Review patient insurance information for accuracy and completeness
- Verify patient insurance coverage, benefits, and eligibility
- Update patient insurance records in the system
- Communicate with insurance companies for verification purposes
- Liaise with medical offices for required information and documentation
- Resolve discrepancies in insurance information
- Follow up on pending insurance verifications
- Assist with pre-authorization and referral processes
- Support patients and healthcare staff with insurance inquiries
- Generate and distribute insurance verification reports
- Manage insurance verification queues and worklists
- Ensure compliance with HIPAA and regulatory requirements
- Utilize EHR systems and insurance portals
- Identify trends and areas for improvement in the verification process
- Participate in team meetings and training sessions
- Perform additional administrative tasks as needed

Ideal Candidate

The ideal candidate for the role of Virtual Insurance Verification Assistant is a meticulous individual with at least two years of experience in insurance verification, medical billing, or a related field, demonstrating a profound understanding of medical insurance terminology, coverage benefits, and eligibility requirements. They possess exceptional communication skills, both written and verbal, and can seamlessly navigate electronic health records (EHR) systems and insurance portals with proficiency. Their strong analytical and problem-solving abilities enable them to resolve discrepancies efficiently, while their high attention to detail ensures accuracy in updating and maintaining patient records. This candidate excels in managing multiple tasks under pressure, thanks to their solid organizational and time management skills, and is adept at using Microsoft Office Suite (Word, Excel, Outlook). They exhibit a customer service-oriented approach with a professional demeanor and are committed to continuous learning and improvement, adapting swiftly to new processes and changes. With a reliable, responsible work ethic and the capability to work independently as well as within a remote team, they prioritize compliance with HIPAA regulations and maintain strict patient confidentiality. Moreover, their ability to effectively collaborate with medical offices and insurance companies sets them apart as a highly valuable asset to the team.

On a typical day, you will...

- Review and verify patient insurance information for accuracy and completeness
- Contact insurance companies to confirm patient coverage, benefits, and eligibility
- Update and maintain accurate patient insurance records in the system
- Communicate with medical offices to obtain necessary information and documentation
- Resolve discrepancies in insurance information by coordinating with patients and providers
- Follow up on pending insurance verifications and ensure timely completion
- Assist with pre-authorization and referral processes for medical procedures
- Provide support and answer inquiries from patients and healthcare staff regarding insurance-related issues
- Generate and distribute daily, weekly, or monthly insurance verification reports
- Monitor and manage insurance verification queues and worklists
- Ensure compliance with HIPAA and other regulatory requirements in handling patient information
- Utilize electronic health records (EHR) systems and insurance portals for information retrieval and updating
- Identify and report trends, issues, and areas for improvement in the verification process
- Participate in team meetings and training sessions to stay informed about industry updates and best practices
- Perform additional administrative tasks as required to support the insurance verification process.

What we are looking for

- Detail-oriented with a high degree of accuracy
- Strong problem-solving skills
- Excellent communication abilities, both written and verbal
- Proficient in using electronic health records (EHR) systems
- Experienced in navigating insurance portals
- Strong organizational and time management skills
- Ability to manage multiple tasks and work under pressure
- Adaptability to changes and new processes
- Ability to work independently and within a remote team
- Customer service-oriented with a professional demeanor
- Reliable and responsible work ethic
- Commitment to maintaining patient confidentiality
- Skilled in Microsoft Office Suite (Word, Excel, Outlook)
- Strong analytical abilities
- Continuous learning and improvement mindset
- Familiarity with HIPAA regulations
- Ability to effectively collaborate with medical offices and insurance companies

What you can expect (benefits)

- Competitive salary range based on experience
- Health, dental, and vision insurance
- Paid time off (PTO) and holidays
- Flexible working hours
- Remote work opportunities
- 401(k) retirement plan with company match
- Professional development and training programs
- Performance-based bonuses and incentives
- Employee wellness programs
- Company-sponsored social events and team-building activities
- Access to online learning platforms and resources
- Opportunities for career advancement and growth
- Supportive and collaborative work environment
- Access to necessary technology and equipment for remote work
- Employee assistance program (EAP) for mental health and well-being
- Annual performance reviews and feedback sessions
- Work-life balance initiatives and policies

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