Verification Specialist (Healthcare Insurance)

Position Summary

The Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communication with internal teams and patients, verifying insurance benefits, and ensuring HIPAA compliance. The position is key to maintaining smooth administrative operations and supporting high-quality patient care.

Essential Duties and Responsibilities

Responsibilities include, but are not limited to :

• Confirming and updating patient demographic information (name, address, date of birth, contact details) in electronic records.
• Verifying insurance benefits for physical therapy services via phone calls and / or online portals.
• Recording insurance benefit details (co-pays, deductibles, co-insurance, out-of-pocket maximums) on verification forms, patient charts, and estimate forms.
• Generating and communicating “Estimate of Patient Financial Responsibility” forms to patients in a clear and timely manner.
• Reporting discrepancies, coverage issues, or errors to the Verification of Benefits (VOB) Manager and related teams.
• Auditing daily schedules to identify missing verifications and prioritizing follow-ups.
• Maintaining well-organized, accurate records of all verification activities, communications, and documentation.

Requirements

Competencies

Education and Experience

Benefits