Data Entry / Insurance Verification Specialist

****** NOT A REMOTE POSITION *****

Position summary
The Data Entry and Insurance Verification Specialist is responsible for accurately entering and maintaining patient and insurance information in our database. This role is crucial for ensuring a smooth and accurate billing and claims process by verifying patient eligibility and benefits. The ideal candidate is detail-oriented, possesses strong organizational skills, and can communicate effectively with patients, insurance carriers, and internal teams.

Key responsibilities

• Data entry: Accurately enter, update, and maintain patient demographic information, insurance details, and referral information in the electronic medical records (EMR) or billing system. (E CLINICAL WORKS, MEDISOFT)
• Insurance verification: Proactively contact insurance companies to verify patient eligibility, benefits, and coverage details, including co-pays, deductibles, and co-insurance.
• Authorization: Obtain and track pre-authorizations or referrals required for specific medical services or procedures.
• Problem resolution: Identify and resolve any insurance-related issues, discrepancies, or denials by communicating with patients, providers, and insurance carriers.
• Patient communication: Clearly and professionally explain insurance coverage, estimated costs, and financial responsibilities to patients.
• Records management: Scan, index, and organize patient documents, insurance cards, and other related paperwork.
• Compliance: Maintain strict confidentiality of all patient information and adhere to HIPAA regulations and company policies.

Required skills and qualifications

• High school diploma or equivalent is required.
• Proven experience in a medical office, billing, or insurance verification role.
• Proficiency in data entry and strong familiarity with computer software, including Microsoft Office (Excel) and EMR/billing systems.
• Excellent communication skills, both verbal and written, with professional telephone etiquette.
• Exceptional attention to detail and a high level of accuracy.
• Strong organizational and time-management abilities.
• Ability to work independently and as part of a team in a fast-paced environment.
• Experience with specific insurance portals (e.g., Availity, Novitasphere) is a plus.

Job Type: Full-time

Pay: $13.00 - $15.00 per hour

Experience:

• DATA ENTRY: 2 years (Required)

Work Location: In person