Insurance Verification Specialist III

Minimum Qualifications:

• High school graduate, GED, or formal education equivalent.
• Excellent organizational Skills
• Interpersonal skills
• Decision-making skills
• Must maintain confidentiality and HIPAA compliance.
• Highly motivated and self-directed individual to establish plans of action.
• Highly proficient in computer and keyboard skills.

Level III

• Four (4) years of insurance experience in a healthcare environment

Preferred Qualifications:

• Experience working in a healthcare environment.

Stand: Frequently

Sit: Continuously

Walk: Occasionally

Bend, crawl, crouch, kneel, stoop or reach overhead: Frequently

Lift and carry weight: 25 lbs

Push and pull weight: 25 lbs

Use hands to touch, handle or feel: Frequently

Talk: Continuously

Hear: Continuously

Taste or smell: Occasionally

Read, concentrate, think analytically: Continuously

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity.  The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. 

Job Requirements:

• Conducts verification of eligibility and benefits for patient insurance.
• Completes authorizations and pre-certifications, tracks pre-authorizations, and maintains referrals.
• Enters benefit and authorization information into EPIC.  
• Initiates peer-to-peer submissions and works closely with clinical counterparts to collect requested information.
• Obtains and coordinates completion of out of network waivers.
• Coordinates with UAMS Office of Financial Clearance when appropriate.
• This position is responsible for working billing follow up WQs and denials. 
• Responsible for orientation and training of new hires and further/additional training as needed. 
• Work effectively in a team environment, coordinating workflows with other team members and ensuring a productive and efficient environment.
• Deals with conflicts in a positive and professional manner using careful listening and negotiation skills to resolve disagreements. 
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to CMS, Joint Commission, EMTALA, and OSHA.
• Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization.
• Other duties as assigned

Please contact askrecruitment@uams.edu for any recruiting related questions.

All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.