Insurance Verification Specialist
CurrentVerifying eligibility, benefit, and authorization information for walk-in and scheduled patients being evaluated and treated for outpatient PT/ST/OT in a facility or office setting. Accountable for insurance verifications for a variety of clinics spanning across the Northeast Region (IL, MI, IN, NJ, MD, VA, PA, KY). Finalizing and uploading verification forms with patient financial responsibility details for clinics to review with patients. Specialized in verifying various medical policies, such as Blue Cross Blue Shield, Wellcare, Cigna, Humana, Aetna, UMR, Medicaid, Medicare, Medicare Supplemental Plans, Tricare, SIHO, United Healthcare, and many more. Confirming insurance type (PPO, HMO, EPO, POS, OAP, Medicaid, Managed Medicare, etc.), modality and unit limitations, thresholds, visit limitations, authorization/medical review requirements, and confirming CPT and DX codes are valid and billable.Completing 40+ verifications per day. Only verifier on team responsible for NICU PT/ST verifications for PT Solutions at UChicago Medicine AdventHealth Hospital in La Grange, IL.
