Insurance Verification & Eligibility

Insurance Verification & Eligibility

An insurance verification specialist is responsible for verifying a patient's insurance coverage.An insurance verification specialist is a health care professional working to ensure that patients’ health care benefits cover required procedures. He contacts a patient’s insurance company to verify coverage levels and works with individuals to educate them on their benefits information. He serves as a valued member of the health care team, helping patients get the medical procedures they need.

DUTIES INCLUDE:

  • Serves as a valuable resource to patients, providing them with pertinent information regarding their coverage
  • Works with patients to explain coverage amounts provided by their insurance policy, so they can understand why some procedures may be covered, while others are not.
  • Helps patients arrange payment for services that are not covered by their insurance companies, discussing different financing options to fit their budgets. She must also be willing to perform light administrative duties as needed.