Insurance Verification Specialist

About IHTC

At the Indiana Hemophilia & Thrombosis Center (IHTC), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.

What You Will Do

As an Insurance Verification Specialist (IVS), you serve as the primary role responsible for loading and verifying patient insurances.

The Opportunity

• Conduct eligibility and verification of benefits for all scheduled patients prior to appointments utilizing Athena, portals and phone calls.
• Route a patient case to the Insurance Coordinator team when referrals are needed based upon eligibility and third-party guidance provided in findings.
• Establish and utilize portals for verification and policy details.
• Maintain eligibility and verification 3 days out using the eligibility and phone list report
• Run daily Medicaid audits on primary and secondary policies.
• Maintain eligibility and verification for add-ons and daily encounters.
• Ensure subscriber details and copays are entered correctly.
• Support the front office team with insurance verification issues at check in.
• Support Patient Services Coordinators and Medical Records with ensuring correct policies are loaded for new patients and established patients providing new insurance when scheduling.
• Manage ‘missing insurance bucket’.
• Manage ‘eligibility issue bucket’.
• Collaborate with Lab team on updating orders with new insurance.
• Collaborate with the Insurance Coordinator team for patients who present without insurance.
• Collaborate with the Insurance Coordinator team for policies that require a referral.
• Collaborate with the Insurance Coordinator team for Coordination of Benefit issues.
• Collaborate with the billing team to facilitate patient billing questions.
• Upload/verify new insurances submitted by patients through the Patient Portal.
• Review policy alerts and dismiss/update as appropriate

Requirements

• Minimum 1 year of related experience
• Minimum High school or GED required
• Valid driver's license and automobile insurance is required.

Benefits

Why join our team? 

The IHTC is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package. 

The IHTC is the only federally designated comprehensive hemophilia program in Indiana and serves the entire state through services available in Indianapolis and at outreach clinics. 

The IHTC is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services. 

The IHTC participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHTC research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 50 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more. 

The Indiana Hemophilia and Thrombosis Center is an Equal Opportunity Employer.