Medical Insurance Specialist

Job Summary
We are seeking a proactive and detail-oriented Medical Insurance Specialist to join our dynamic healthcare team. In this vital role, you will serve as the primary point of contact for insurance-related inquiries, ensuring accurate verification, processing, and management of patient insurance information. Your expertise will help streamline billing processes, enhance patient satisfaction, and ensure compliance with healthcare regulations such as HIPAA. If you thrive in a fast-paced environment and possess a passion for delivering exceptional service, this opportunity is perfect for you to make a meaningful impact in patient care and administrative excellence.

Duties

• Verify patient insurance coverage and eligibility using managed care systems and insurance portals
• Assist patients with insurance questions, explaining coverage details and benefits clearly
• Review medical records and documentation to ensure proper coding using CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards
• Process medical claims accurately and efficiently, following established billing procedures
• Maintain comprehensive medical records while ensuring compliance with HIPAA regulations to protect patient privacy
• Collaborate with medical offices and dental practices to facilitate insurance verification and claim submissions
• Stay updated on changes in managed care policies, coding guidelines, and healthcare regulations to ensure ongoing compliance
• Support the office team by managing medical terminology references and assisting with medical coding tasks as needed

Experience

• Prior experience working in a medical office or dental office environment is highly preferred
• Strong knowledge of managed care processes, insurance verification, and claims processing
• Familiarity with HIPAA regulations to maintain confidentiality and security of patient information
• Proficiency in CPT coding, ICD-9, ICD-10, and ICD coding systems for accurate billing and documentation
• Experience handling medical records management and medical terminology comprehension
• Office experience demonstrating excellent organizational skills and attention to detail
• Ability to communicate effectively with patients, providers, insurance companies, and team members

Join us in delivering outstanding healthcare administration that makes a difference! We value energetic professionals who are eager to contribute their skills in a collaborative environment focused on quality patient care. This position offers an engaging opportunity to grow your career while supporting our mission of compassionate service.

Pay: From $16.00 per hour

Work Location: In person