Medical Insurance Verification Specialist

Insurance Verification Specialist

Wanted! Associates with an excellent work ethic and a desire to excel. If you have always wanted to work at a place that values and appreciates you then please consider us as the next step in your career!

Things that set our medical practice apart: We offer 4 weeks of PTO that you earn from day one, 401k eligibility from day one and you’re fully vested, full healthcare including: Health, Dental, Vision, Short Term Disability, Long Term Disability, and Life insurance at reduced rates, and provided scrubs just to name a few of our wonderful work perks.

If the above perks interest you then please apply today. Open positions are limited so apply soon so you don’t miss out to work with us.

Thank you!

Job Description:

An Insurance Verification Specialist is a health care professional working to ensure that patients’ health care benefits cover required procedures. He/she contacts a patient’s insurance company to verify coverage levels and works with individuals to educate them on their benefits information. He/she serves as a valued member of the health care team, helping patients get the medical procedures they need. This position is responsible to pre-certify/pre-authorize Sleep Studies & EEG’s. An Insurance Verification Specialist must also be willing to perform various administrative duties as needed.

Skill Set:

An Insurance Verification Specialist should have experience working with insurance companies and obtaining prior authorizations, and have knowledge of different types of coverage and policies. He/she must have excellent multitasking skills, with the ability to work on many projects at once. He/she must be very detail-oriented and organized, to maintain accurate patient insurance records. It is important that he/she has the ability to focus and work quickly, as insurance paperwork needs to be processed in a timely manner. He/she also must work well with others, as they will work as part of a health care team, striving to provide patients with the best care possible.

Responsibilities:

The Insurance Verification Specialist is responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual’s provider. He/she is responsible for entering data in an accurate manner, as it is his/her job to update patient benefit information in the organization’s insurance system and verify that existing information is accurate. The position requires professionals to spend extensive amounts of time on the phone with insurance companies.

Job Duties:

• Perform telephonic support for online authorization of routine services.
• Provides direct support to Primary Care practices, Specialty Care Providers, and Hospitals regarding utilization, authorization, and referral activities.
• Becomes proficient in the use of ICD-10, and CPT codes.
• Data entry referrals for non-complex services including inpatient and outpatient care.
• Provides data entry for care which has been arranged by the Pre-Authorization care.
• Contacts providers with authorization, denial, and appeals process information.
• Assists in educating and acts as a resource to Primary Care practices, Specialty Care Providers, and Hospitals.
• Verifies eligibility of members and participating status of providers.
• Determines member benefit coverage.
• Assists with the completion of other administrative duties as required.

Requirements:

• High School diploma or GED equivalent.
• Excellent computer, multi-tasking, and phone skills.
• The ability to work well under pressure.
• TEAM PLAYER and willingness for diversified job duties.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Job Type: Full-time

Salary: $17.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Are you willing to undergo a background check?
• On a scale of 1 to 10, with 10 being the highest, what is your level of computer/IT proficiency?

Education:

• High school or equivalent (Required)

Experience:

• Insurance verification: 1 year (Required)
• Prior Authorization: 1 year (Preferred)

Work Location: In person

Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person