Insurance Verification Specialist

Organization Overview

Forté Sports Medicine and Orthopedics is consistently recognized as a leader in the field of sports medicine and orthopedics within the Midwest. Forté has been providing exceptional care to athletes and active people of all ages for over 40 years and pride ourselves in how we deliver that care.

We are a destination employment location for dedicated health care workers who are looking to advance their careers in their chosen profession. If you are seeking a setting that not only allows, but fosters professional growth and development while working with a team of outstanding, committed and like-minded leaders in this niche’ of health care, then you should consider Forté Sports Medicine - “The best place to get care AND the best place to give care!” 

Job Summary/Objective

An insurance verification specialist is responsible for verifying patients’ insurance coverage, ensuring that claims are processed correctly, and handling insurance-related inquiries. The specialist communicates with insurance companies, patients, and healthcare providers to obtain necessary information and resolve issues related to insurance coverage.

This role is primarily remote, with occasional travel to our physical location in Central Indiana, primarily Carmel, for training and staff meetings as needed.

Essential functions

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• Verify patient insurance coverage and update records benefit information into the EMR in a timely and accurate manner  
• Communicate with insurance companies to obtain benefit information 
• Assist patients with insurance-related inquiries and explain coverage details 
• Provide support and serve as excellent resource to physicians and staff regarding current insurance policies, benefits and authorization/referral requirements 
• Obtains written authorization from insurance of prior authorization approval when necessary 
• Maintain excellent working relationship with all physicians, providers, management, insurance carriers, internal departmental and external business staff, consistently demonstrating a high degree of respect and professionalism. 

Competencies (Knowledge/Skills/Abilities)

• Strong working knowledge of insurance principals and regulations 
• Strong knowledge of front medical office, accounting and insurance practices 
• Maintain knowledge of current practice information per policy/procedures  
• Strong analytical and problem-solving abilities  
• Good communication skills both oral and written 
• Ability to collaborate with cross-functional teams and work effectively in a collaborative environment 
• Precision and accuracy in reviewing documents and patient accounts 
• Experience in computer operations 
• Ability to maintain composure and professionalism in fast paced situations 
• Experience in computer operations
• Ability to work independently and collaboratively in fast paced situations

Supervisory responsibilities

 N/A

Work environment

• Typical hours between Monday – Friday 7:00am to 6:00pm (varied based on needs of the department)
• Office equipment provided: computer, phone, fax
• Remote/Hybrid position, associate must be local to Indiana - training done in person

Physical demands

• Sitting, constantly
• Typing, frequently

Travel required

• Infrequent travel to a local Forté office for training or meetings

Required education and experience

• High School Diploma or equivalent required
• At least two (2) years of related work experience in a medical practice office or comparable healthcare setting.

Preferred education and experience

Associates or Bachelor’s degree in healthcare administration, business administration or related field preferred

Forté Sports Medicine and Orthopedics is an equal opportunity employer and drug free workplace