Verification Specialist

Atlanta, GA 30303

Posted: 11/02/2018 Industry: Other Area(s) Job Number: 14482 Pay Rate: 15.00

Position: Verification Specialist in downtown Atlanta

Pay: $15.00 an hour, start date is 11/12/18. 

Skills: Candidate will be responsible:
  • For making payment recommendations to the Claims Investigator on disbursement of Victim’ s compensation for each allowable category (e.g., medical, counseling, funeral expenses, etc.) as is provided under the state law by determining to whom benefits are payable, reviewing claims to verify all billing information and charges are related to the injury, identifying eligibility of the bill payment according to statutory guidelines, and ensuring all legal reimbursement prerequisites are met.
  • Accurately documents files in Victims Information Claims Systems (VICS) by providing detailed information on payment status to the CI, including recording accurate information regarding the victim/claimant and respective insurer(s) or other payment resources.
  • Utilized excellent customer service skills in person, by phone, and in writing when dealing with all identified customers. Communicates effectively and tactfully with all customers to ensure questions are properly handled, and concerns are resolved in a timely manner.
  • Familiarity with ICD-9/CPT medical coding, EOB’ s, general medical terminology, HMO contractual agreements, Medicaid/Medicare requirements, and various billing systems utilized for medical claims billing, strong data entry and analytical skills, detail-oriented, and strong customer service skills.

Summary: Verify billing, medical/coding & insurance, comfortable speaking with customers over the phone; medical background preferred.
Pending hire

Dee Dee Whitmire

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