VERIFICATIONS SPECIALIST

Company: Della Infotech
Location: Las Vegas
Posted on: November 20, 2024

Job Description:

Additional Information: Must have strong internet at home.
--- Has the ability to focus and work quickly.
--- Must work well with others.
--- Excellent multitasking skills.
--- Maintains patient demographic information.
--- Proficient in computers and relevant software.
--- Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
--- Display high level of quality through attention to detail and monitoring of work.
--- Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.
--- Capacity to work independently on assigned tasks, as well as to accept direction on given assignments.
The Verification Specialist is responsible for performing as subject matter expert for department including but not limited to Client Specifications, Client Profiles, Carrier Verification Methods, Quality Control, and Inventory Control. Support specialized functions of the Verification department such as Training, Quality Assurance or Special Projects. Main Duties & Responsibilities: --- Perform as subject matter expert in all aspects of verification process. - Understand verification platform. - Grasp software and carrier access methods. Training o Complete coaching and counseling form weekly for each team member. o Train, coach and develop all new Verification Representatives. o Answer questions from team and help with issues while avoiding disruption in workflow. o Monitor Verification Representatives phone calls and provide feedback. o Identify areas needing training and report to Supervisor. o Assess each new hires area for improvement then encourage the individual's growth, development and improvement. Quality Assurance o Review feedback from Quality Assurance team and counsel team members. o Master day-to-day knowledge of the Verification's department and follow best practices. o Mentor new hires by providing feedback and counseling about job related errors, ensuring methods of best practices and corrective actions are implemented. o Report carrier issues using the proper forms and communication channels. o Monitor new hires quality and production metrics to ensure mastery of the position's required knowledge base. o Verify insurance policies (as requested) and maintain quality score of 95% accuracy or better. o Assist the corporate Quality Assurance department with Quality Assurance work as directed. o Investigate and resolve data inconsistencies. o Suggest areas for process and procedural improvement and report to Supervisor. o Perform internal department production audits. o Audit Verification Representatives work for accuracy. o Audit verified insurance policies for accuracy. o Apply judgment in sampling versus full-populations quality assurance methods. o Approve batch or send backfor re-work. o Provide back up support for all functions of team. Special Projects --- Work on special projects with accuracy and meet deadlines as assigned.
Required Skills: --- Ability to organize well. --- Ability to prioritize. --- Ability to communicate both verbally and in writing, fluently in English. --- Ability to provide and represent professionalism in job. --- Ability to practice flexibility and adaptability in the work place. --- Ability to work proficiently with Microsoft Outlook, Word and Excel and navigate internet skillfully. --- Ability to analyze information and use logic and process to address work-related issues and problems. --- Ability to operate with strong interpersonal skills. --- Ability to be careful and thorough about detail. --- Ability to perform data entry accurately. --- Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines. --- Ability to handle conflict appropriately and constructively. --- Ability to apply problem solving skills. --- Ability and desire to train others. --- Working knowledge of HIPAA privacy and Security rules. --- Ability to perform well in team environment. --- Ability to work independently to meet objectives. --- Ability to meet deadlines. --- Ability to function under pressure and deadline oriented project demands as well as manage multiple initiatives. Required Education/Experience: --- High School Diploma or GED required --- Associates degree preferred --- > 6 months of work experience verifying/QA insurance eligibility --- Expert eCare/Tracer verification platform knowledge required --- Demonstrated leadership skills --- Knowledge of Microsoft PowerPoint and Access preferred HMS provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexualorientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. HMS complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. HMS is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please send an e-mail to ************* or call (214) 453-3000 and let us know the nature of your request and your contact information. EEO/Minorities/Females/Protected Veterans/Disabled

Keywords: Della Infotech, Spring Valley , VERIFICATIONS SPECIALIST, Other , Las Vegas, Nevada