Insurance Verification Representative

Sequence Health is a mission-driven organization committed to improving patient care and providing superior patient activation solutions to healthcare organizations. We pride ourselves on building an inclusive culture and hiring team members who are motivated by purpose, impact, growth, and innovation. 

Want to be part of a team making a difference in patient care while also growing your career? If YES Keep reading

Job Summary:

Are you an effective communicator with a basic knowledge of healthcare insurance? Are you analytical, self-motivated, and interested in joining the growing healthcare field? If so,

Sequence Health has an immediate opening for a Part-Time Temporary Insurance Verification Representative. We are seeking motivated individuals who are eager to join the healthcare industry by helping patients and providers navigate insurance plans and coverage to facilitate the pathway to care. In this role, you will engage with patients and insurance carriers to verify the availability of insurance coverage to position patients to move forward and seek the care they need to improve their quality of life. We are looking for candidates who can work independently, think critically, and have a basic knowledge of health insurance coverage. This position is being offered remotely. 

Essential Functions:

• Contact insurance companies and patients regarding insurance benefits and coverage.
• Must have excellent multitasking skills, with the ability to work on projects simultaneously. Must be very detail-oriented and organized to maintain accurate patient insurance records.
• Obtain and enter accurate demographic information into Sequence Platform (address, telephone number, name of insurance as required by practice).
• Schedule seminar or appointment correctly in Sequence Platform or other scheduling system used by the customer- review seminar/appointment date, time, location, and provider name with the patient.
• Inform caller of items to bring to appointment (including insurance card and identification as required by practice).
• Remind the caller to arrive 15 to 30 minutes before the scheduled seminar/appointment to complete the paperwork.
• Remind caller of cancellation/no-show policy.
• Answer questions and offer other information, as requested, to provide patient-focused service.
• Meets and exceeds call volume standards.
• Adheres to all HIPPA policies.
• Act as a liaison for the patients and the Health Center.
• Direct calls to other departments as needed.
• Serves as a valuable resource to patients, providing pertinent information regarding their coverage.
• Use sound judgment in handling calls, especially with upset patients.
• Understanding of when to escalate calls to physicians/practice manager/triage nurse.
• Communicates with practice via email and written communication regarding coverage.
• Provide assistance with callbacks and other projects as call volume permits
• Any other duties necessary to drive our values, fulfill our mission, and abide by our company values.
• Locate, Research, and document insurance guidelines and criteria. 
  

Required Skills/Abilities:

• 1+ years of healthcare or customer service experience - preferably in a call center environment
• 1+ years experience in Healthcare Insurance verification required. 
• Ability to handle confidential and sensitive information
• Possesses working knowledge of medical terminology and is familiar with insurance and hospital billing policies and procedures
• Ability to communicate effectively on the telephone and in written form
• Ability to handle a "call center" environment: work quickly and multi-task
• Ability to exercise good judgment to handle calls and sensitive information appropriately
• Ability to demonstrate good customer service
• Ability to arrive at a workstation on time, ready to work, and demonstrate minimal absenteeism
• Ability to use online resources and tools to educate callers correctly
• Ability to follow break and lunch schedules based on call volume and forecasting
• Ability to multi-task using several systems and multiple monitors at the same time
• Proficient with technology, software applications, and phone systems
• Exceptional verbal and written communication skills - positive and proactive, works collaboratively with others to identify opportunities to improve results
  

Supervisory Responsibilities: 0%

Travel Requirements: 0%

Work Authorization:

• Sequence Health does not offer Immigration or work visa sponsorship

Essential Duties and Responsibilities

• Able to work remotely at home in a private HIPAA compliant workspace
• Able to house company equipment needed to perform job
• Broadband Internet Access
  • Internet download speed must be at least 24 mbps and upload speed at least 4 mbps
• Immigration or work visa sponsorship will not be provided 
•  Physical Demands:
  • Ability to hear in normal range and wear a headset / earpiece
  • Good visual acuity to read computer screens, scripts, forms etc.
  • May sit 100% of the time when taking calls
• Access to the electronic medical record (EMR) system may require the use of your personal mobile device for authentication purposes.

We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.