What Is the Role of a Medical Insurance Verification Specialist?

As a doctor, you’re always looking for ways to reduce costs and have more time in your day. You work hard, long hours with few breaks. As a result, you need a qualified support team helping with all the tasks you can’t get to on your own—including medical insurance verification.

While you can give this task to your receptionist in charge of billing, this could mean paying for more hours or even hiring someone new just for insurance verification. A better solution, in most cases, is to contract with an insurance verification services company.

For a fraction of the cost, you’ll have access to top-notch insurance verification specialists, as well as other services that can make your practice run more smoothly.

But First, What Is a Medical Insurance Verification Specialist?

Medical insurance verification specialists are experts at clearing hurdles by quickly reviewing records, analyzing insurance plans, and verifying whether a patient has coverage or not so doctors can focus on healing instead of paperwork.

Medical insurance verification specialists also serve as a second set of eyes when it comes to making sure an insurer is paying benefits correctly, which helps make certain that health care providers get paid fairly for services rendered while protecting them from fraud schemes.

What Qualifications Do Medical Insurance Verification Specialists Have?

This can vary based on the company employing them. In general, all companies will look for the following qualifications:

• A high school diploma or GED.
• Previous billing experience.
• Knowledge of medical terminology.
• Experience with insurance companies.
• Clear communication skills and fluency in English.
• Detail-oriented focus.

Other companies will look for greater qualifications than this, such as a two-year college degree or greater, passing a certification exam, and completing a rigorous training program.

For those who are at the supervisor level, there is usually a requirement that they have a degree in healthcare management or business administration.

In this post, we’ve highlighted a bit about the role of a medical insurance verification specialist. If you want to learn more about how you can outsource your insurance verification, don’t hesitate to reach out!

We offer a wide variety of solutions that can help improve the quality of your practice while boosting your bottom line, including healthcare CRMs and call centers.

Not quite ready to outsource this task? Not a problem. Read up on how to verify medical insurance coverage on your own.