Verifications Specialist

  • ID: 524568
  • Posted: 3/15/2023
  • Location: Las Vegas, NV
  • Category: Pro - Professional
  • Job Type: Temp to Direct
  • Duration: 0 - 3 Months


Acara solutions is looking for an Verifications Specialist for our client located in Las Vegas, NV

  • "The Verification Specialist is responsible for performing as subject matter expert for department including but not limited to Client Specifications, Client Profiles, Carrier Verification Methods, Quality Control, and Inventory Control. 
  • Support specialized functions of the Verification department such as Training, Quality Assurance or Special Projects. 
  • Perform as subject matter expert in all aspects of verification process. 
  • Understand verification platform. 
  • Grasp software and carrier access methods. 
  • Training 
  • Complete coaching and counseling form weekly for each team member. 
  • Train, coach and develop all new Verification Representatives. 
  • Answer questions from team and help with issues while avoiding disruption in workflow. 
  • Monitor Verification Representatives phone calls and provide feedback. 
  • Identify areas needing training and report to Supervisor. 
  • Assess each new hires area for improvement then encourage the individual's growth, development and improvement. 
  • Quality Assurance 
  • Review feedback from Quality Assurance team and counsel team members. 
  • Master day-to-day knowledge of the Verification's department and follow best practices. 
  • Mentor new hires by providing feedback and counseling about job related errors, ensuring methods of best practices and corrective actions are implemented. 
  • Report carrier issues using the proper forms and communication channels. 
  • Monitor new hires quality and production metrics to ensure mastery of the position's required knowledge base. 
  • Verify insurance policies (as requested) and maintain quality score of 95% accuracy or better. 
  • Assist the corporate Quality Assurance department with Quality Assurance work as directed. 
  • Investigate and resolve data inconsistencies. 
  • Suggest areas for process and procedural improvement and report to Supervisor. 
  • Perform internal department production audits. 
  • Audit Verification Representatives work for accuracy. 
  • Audit verified insurance policies for accuracy. 
  • Apply judgment in sampling versus full-populations quality assurance methods. 
  • Approve batch or send backfor re-work. o Provide back up support for all functions of team. 
  • Special Projects
  • Work on special projects with accuracy and meet deadlines as assigned."
  • Work well with others.
  • Maintains patient demographic information.
  • Display high level of quality through attention to detail and monitoring of work.
  • Capacity to work independently on assigned tasks, as well as to accept direction on given assignments.

Pay and Benefits:

  • The Salary for this position is $19.67 per hour (Max Pay rate).
Job Requirements

Required Skills / Qualifications:
  • High school diploma or GED
  • Minimum of 6 month experience in verifying/QA insurance eligibility
  • Minimum of 1 year experience in Expert eCare/Tracer verification platform 

Preferred Skills / Qualifications:
  • Associates degree
  • Demonstrated leadership skills
  • Knowledge of Microsoft PowerPoint and Access
  • Proficient in computers and relevant software.
  • Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
  • Excellent multitasking skills.
  • Has the ability to focus and work quickly.
  • Ability to organize well. 
  • Ability to prioritize. 
  • Ability to communicate both verbally and in writing, fluently in English. 
  • Ability to provide and represent professionalism in job.
  • Ability to practice flexibility and adaptability in the work place. 
  • Ability to work proficiently with Microsoft Outlook, Word and Excel and navigate internet skillfully. 
  • Ability to analyze information and use logic and process to address work-related issues and problems. 
  • Ability to operate with strong interpersonal skills. 
  • Ability to be careful and thorough about detail. 
  • Ability to perform data entry accurately.
  • Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines. 
  • Ability to handle conflict appropriately and constructively. 
  • Ability to apply problem solving skills. 
  • Ability and desire to train others. 
  • Working knowledge of HIPAA privacy and Security rules. 
  • Ability to perform well in team environment. 
  • Ability to work independently to meet objectives. 
  • Ability to meet deadlines. 
  • Ability to function under pressure and deadline-oriented project demands as well as manage multiple initiatives.

Additional Information:

  • Upon offer of employment, the individual will be subject to a background check and a drug screen.

Aleron companies (Acara Solutions, Aleron Shared Resources, Broadleaf Results, Lume Strategies, TalentRise, Viaduct, and Aleron's strategic partner, SDI) are Equal Employment Opportunity and Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity, sexual orientation, national origin, genetic information, sex, age, disability, veteran status, or any other legally protected basis. The Aleron companies welcome and encourage applications from diverse candidates, including people with disabilities. Accommodations are available upon request for applicants taking part in all aspects of the selection process.

Applicants for this position must be legally authorized to work in the United States. This position does not meet the employment requirements for individuals with F-1 OPT STEM work authorization status.

Already have an account? Log in here