Insurance Verification Specialist (Medical Front Office)

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Who We Are

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.

Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose?

What Makes Us Unique

We are an empowered primary care, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.

How We Work

Our Culture & Core Beliefs

• Earn Trust
• Building Relationships
• Creating Joy
• Doing Right
• Improving Every Day
• Moving Forward

What You'll Do

Position Summary

The Insurance Verification Specialist/Greeter will be an integral part of the Suvida Healthcare team. The GVS will be the first impression of the center to all patients, family members, and visitors. The Insurance Verification Specialist (Greeter) will provide exceptional customer service and ensure all who visit Suvida Healthcare centers are welcomed and properly attended to. The Insurance Verification Specialist (Greeter) will work with the center team by answering questions, managing incoming and outgoing calls, ensuring all benefits are verified, and assisting with other clinical clerical tasks.

Responsibilities

• Ensures the highest level of customer service possible
• Displays respect and concern for all patients
• Attends all clinic huddles and clinic monthly meetings
• Greets and Welcomes patients to the clinic
• Assists patients to the seating area
• Assists patients in wheelchair to the seating area
• Assists patients with scheduling transportation to and from the clinic
• Ensures all insurance benefits are verified and active
• Collects any co-pays necessary for patient's visit
• Manages phone lines by answering, taking messages, and conducting outbound calls as instructed
• Manages patient referrals by processing them and obtaining authorizations
• Assists in scheduling appointments for patient's referrals
• Updates patient information and making changes to EMR platform
• Other Duties as assigned

What You'll Bring

Knowledge, Skills, and Abilities

• Bi-lingual-(English/Spanish) required
• Experience managing referrals and authorizations preferred
• Experience in Value-based care operations preferred
• Experience documenting electronic medical records
• Comfortable working independently

Education, Experience, Licensure, or Certification Requirements

• 1+ years progressive work experience in the healthcare industry
• 2+ years of customer service
• High School Diploma or GED Equivalent
• Bachelor's in Healthcare Administration, Business, or Hospitality preferred

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.