insurance verification clerk

INFIRMARY HEALTH

<div>Overview:

Qualifications:
<div>
Minimum Qualifications:</div><div><ul><li>
Demonstrates written, interpersonal, or communication skills as appropriate to position</li><li>
Ability to communicate with a broad range of people</li><li>
Excellent keyboarding skills</li><li>
Working knowledge of insurance regulations, billing procedures, and diagnosis coding</li><li>
Working knowledge of medical/insurance terminology</li></ul></div><div>
Desired Qualifications:</div><div><div>
Demonstrated ability to analyze and explain insurance requirements and benefits</div> 
<div></div>
Working knowledge of hospital registration procedures</div> 

Responsibilities:
<div>
Performs a variety of clerical and administrative duties to ensure customer satisfaction and efficient department/clinic operations. Analyzes insurance medical necessity requirements and benefits via provider website to ensure requirements are met for claims to be submitted according to Infirmary Health's standards of quality, efficiency, and desired outcomes.</div></div>

Insurance Verification Clerk

Expert MRI, PC

Want to enjoy where you work and be part of a supportive team environment?OneSource Medical Diagnostics is looking for a detail-oriented Eligibility &amp; Insurance Verification Clerk to join our growing team.OneSource Medical Diagnostics provides administrative and support services to Expert MRI, a leading radiology group dedicated to delivering high-quality imaging services and exceptional patient care.This role plays a key part in ensuring a clean and efficient billing process by verifying insurance coverage, obtaining authorizations, and maintaining accurate patient information.** Pay Range: $22&ndash;$24 per hour** Schedule: Monday &ndash; Friday | 8:30 AM &ndash; 5:00 PM (note: Rotating weekend availability required)What You'll Do:<ul><li>Verify patient insurance eligibility and benefits prior to services</li><li>Obtain insurance authorizations for diagnostic imaging procedures</li><li>Confirm referring physician information and required documentation (RX/orders)</li><li>Review and verify patient demographics, insurance, and employer information for billing accuracy</li><li>Update financial class and fee schedule information in patient records</li><li>Attach and maintain supporting documentation in patient charts</li><li>Verify attorney information for applicable cases</li><li>Follow up on accounts requiring additional review or clarification</li><li>Collaborate with team members to ensure accurate and timely billing preparation</li></ul>What You Need:<ul><li>1&ndash;3 years of experience in medical office, billing, or insurance verification</li><li>Experience verifying eligibility and obtaining authorizations for PPO, HMO, Medicare, Workers&rsquo; Comp, Auto/PI, and Med Pay</li><li>Knowledge of medical billing and CPT codes strongly preferred</li><li>Strong attention to detail and ability to manage multiple tasks</li><li>Excellent communication and customer service skills</li><li>Proficiency in Microsoft Office, particularly Excel</li><li>Bilingual English/Spanish is a plus</li></ul>What We Offer:<ul><li>Medical, Dental, and Vision Insurance</li><li>Life Insurance and AD&amp;D Coverage</li><li>Short-Term and Long-Term Disability</li><li>Employee Assistance Program</li><li>Paid Time Off</li><li>Paid Sick Time</li><li>Paid Holidays</li><li>401(k)</li></ul>OneSource Medical Diagnostics / Expert MRI is an Equal Opportunity Employer.Job Type: Full-timePay: $21.00 - $24.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Parental leave</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Do you reside near Costa Mesa?</li></ul>Experience:<ul><li>Medical scheduling: 2 years (Required)</li></ul>Language:<ul><li>Spanish (Required)</li></ul>Work Location: In person

Eligibility / Verification Clerk

Paychex, Inc.

<div>POSITION SUMMARY

The Insurance Benefit Specialist ensures all scheduled surgical cases have accurate, complete, and timely insurance verification, authorization, and financial documentation. This role directly supports clean claims, prevents denials, and ensures patients receive accurate financial estimates prior to their procedure. The Insurance Benefit Specialist may be cross-trained in other functions of the business office.

Role and Responsibilities
<ul>
<li>Verifies all insurance information including authorizations, benefits coverage and claims mailing address and meticulously documents all data into HIS.</li>
<li>Reviews and corrects all insurance information in the HIS. Including but not limited to any deductible, co-payment or patient payments that need to be collected at time of service.</li>
<li>Informs Pre-admissions clerks at center and patients, when applicable, of any deductible, co-payment or patient payments.</li>
<li>Works cooperatively with Scheduling Clerk and Pre-Admissions clerk for cancellations, additions and any changes to the schedule.</li>
<li>Informs Pre-Admissions clerk of insurance benefits for determination of any co-payments and or deductibles that need to be collected.</li>
<li>Communicates with any and every Adjuster, Nurse case manager and Benefits organizer for verifications and plan coverage.</li>
<li>Collaborates with Revenue Cycle Manager on a daily basis.</li>
<li>Works with Scheduling Clerk for accurate insurance information entry into the health information system.</li>
<li>Collaborates with Scheduling Clerk for Insurance Authorizations, claim numbers and adjusters.</li>
<li>Performs related work as required.</li>
<li>Will cross-train to other Business Office positions for back up as needed.</li>
<li>Reports directly to the Revenue Cycle Manager.</li>
<li>Performs other tasks as assigned by the Revenue Cycle Manager.</li>
<li>Must be willing to complete software training to keep up with advances in information technology.</li>
<li>Represents the company in a thoughtful and professional manner to customers, i.e. facility administrators, business office personnel, clinical personnel, physicians, patients and vendors.</li>
<li>Be familiar with the companies policy and procedures and HIPAA regulations.</li>
</ul>
Work experience
<ul>
<li>Minimum of two years&rsquo; experience with Insurance benefits in an Ambulatory Surgery Center.
</li><li>GI experience required</li>
<li>Experience using a medical software billing system. Must be familiar with Windows, Microsoft Office and ASC software.</li>
</ul>
Education Requirements
<ul><li>
High school graduate or equivalent.</li></ul>

Preferred Skills and knowledge
<ul>
<li>Advantx or HST experience preferred.</li>
<li>Must be able to work under pressure.</li>
<li>Possesses excellent communication skills.</li>
<li>Competence in oral and written skills.</li>
<li>Ability to prioritize and complete tasks in a timely manner.</li>
<li>Must possess the ability to perform multiple tasks simultaneously.</li>
<li>Understanding of company products, services and customers.</li>
<li>General understanding of the healthcare environment.</li>
<li>Knowledge of alpha filing system.</li>
<li>Ability to follow oral and written instructions.</li>
<li>Ability to be cross-trained in other areas of the business office.</li>
<li>Working knowledge of Medicare, Medicaid, Worker&rsquo;s Compensation and Managed Care.</li>
<li>Working knowledge Out of Network billing.</li>
<li>Requires knowledge of medical terminology.</li>
<li>Basic knowledge of codes and modifiers.</li>
<li>Ability to access and utilize the Internet.</li>
<li>Requires exposure to automated insurance verification applications generally used within the healthcare industry.</li></ul></div>

Insurance Verification Specialist

Proco LLC

<div>Description:

AICA Orthopedics - Driving Revenue Performance Through Verification Excellence-
About AICA Orthopedics For 25 years, AICA Orthopedics has been a leader in integrated orthopedic care across metro Atlanta. With 21 locations and a state-of-the-art surgery center, we're a growing team of 400+ professionals committed to exceptional patient care. We're transforming healthcare delivery through our multidisciplinary approach that brings together orthopedic surgeons, neurologists, chiropractors, physical therapists, and pain management experts under one roof.
Position Overview The Insurance Verifier plays a critical role in AICA Orthopedics' financial performance by ensuring maximum appropriate reimbursement for patient services. As the frontline of our revenue cycle, you'll directly impact our practice's financial health by optimizing insurance verification processes, identifying all available payment sources, and establishing clear pathways to payment for services rendered.
Position Impact As an Insurance Verifier, you'll drive financial results by:<ul><li>
Maximizing revenue capture through comprehensive verification of all potential payment sources</li><li>
Reducing claim denials through accurate pre-service verification and documentation</li><li>
Accelerating cash flow by identifying and addressing coverage issues before service delivery</li><li>
Improving patient financial experience through clear communication about coverage and benefits</li><li>
Supporting practice growth by enabling informed decisions about treatment authorization</li></ul>
This position offers significant growth potential for professionals interested in revenue cycle management, healthcare finance, and insurance operations. Revenue Optimization<ul><li>
Achieve or exceed monthly verification targets that support departmental collection goals</li><li>
Identify and secure all available payment sources, prioritizing Med Pay and Major Medical</li><li>
Document and communicate coverage details that ensure clean claims submission</li><li>
Proactively identify and resolve potential reimbursement obstacles before they affect collections</li></ul>
Verification Accuracy &amp; Efficiency<ul><li>
Maintain high accuracy rates in benefit verification and documentation</li><li>
Process 35+ patient accounts daily with thorough verification</li><li>
Complete 25+ productive carrier and patient communications daily</li><li>
Ensure all verification information is properly documented in case management and practice management systems</li></ul>
Communication &amp; Collaboration<ul><li>
Provide timely alerts to clinical and corporate staff regarding coverage limitations</li><li>
Partner with MP and MM teams to optimize billing of applicable policies</li><li>
Deliver clear explanations to patients regarding financial responsibilities</li></ul>
Process Improvement<ul><li>
Identify opportunities to streamline verification workflows</li><li>
Contribute ideas to enhance team performance and productivity</li><li>
Adapt quickly to evolving payer requirements and internal processes</li><li>
Help develop best practices for personal injury and medical benefits verification</li></ul>
Qualifications For Success<ul><li>
Required:
<ul><li>High School diploma (college coursework a plus)</li>
<li>2+ years of experience in insurance verification
</li><li>Proficiency with MS Office, Excel, and Outlook</li>
<li>Strong communication skills with patients, insurance carriers, and internal teams</li>
<li>Results-oriented mindset with focus on measurable outcomes</li>
<li>Detail-oriented approach with strong organizational abilities</li>
<li>Ability to multitask in a fast-paced environment while maintaining accuracy</li>
</ul></li><li>Preferred:
<ul><li>Experience with NextGen Practice Management</li>
<li>Knowledge of medical billing terminology and processes</li>
<li>Previous experience in orthopedic or multi-specialty medical practices</li>
<li>Understanding of personal injury insurance and claims processes</li>
<li>Understanding of health insurance and claims processes</li>
</ul></li></ul>Growth &amp; Development Opportunities<ul><li>
Career Advancement: Pathway to senior verification specialist, team lead, or broader revenue cycle management roles</li><li>
Skill Development: Ongoing training in insurance processes, healthcare reimbursement, and emerging payment models</li><li>
Performance Recognition: Regular feedback and rewards for exceeding verification and collection targets</li><li>
Cross-Functional Exposure: Interaction with billing, collections, and clinical operations teams</li></ul>
What Sets Our Top Performers Apart Our most successful Insurance Verifiers consistently:<ul><li>
Take ownership of verification metrics and their impact on overall collections</li><li>
Approach each account with thoroughness and attention to detail</li><li>
Develop effective relationships with insurance representatives and attorney offices</li><li>
Anticipate potential coverage issues and proactively address them</li><li>
Balance efficiency with accuracy to maximize both productivity and revenue</li></ul>
Compensation &amp; Benefits<ul><li>
Competitive hourly compensation
</li><li>Performance-based bonus potential</li><li>
Comprehensive benefits package</li><li>
Professional development opportunities</li></ul>
Work Environment<ul><li>
40 hours per week with occasional extended hours to meet deadlines</li><li>
Fast-paced, metrics-driven environment with clear performance expectations</li><li>
Collaborative team setting with opportunities to contribute to process improvement</li><li>
Physical demands include frequent sitting, use of computer &amp; phone systems, and occasional document handling</li></ul>
Join our team and make a measurable impact on our organization's financial success while building valuable expertise in healthcare revenue cycle management! AICA Orthopedics is an equal opportunity employer and values diversity in our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 
Requirements:<ul><li> 
Required:
<ul><li>High School diploma (college coursework a plus)</li>
<li>2+ years of experience in insurance verification
</li><li>Proficiency with MS Office, Excel, and Outlook</li>
<li>Strong communication skills with patients, insurance carriers, and internal teams</li>
<li>Results-oriented mindset with focus on measurable outcomes</li>
<li>Detail-oriented approach with strong organizational abilities</li>
<li>Ability to multitask in a fast-paced environment while maintaining accuracy</li>
</ul></li><li>Preferred:
<ul><li>Experience with NextGen Practice Management</li>
<li>Knowledge of medical billing terminology and processes</li>
<li>Previous experience in orthopedic or multi-specialty medical practices</li>
<li>Understanding of personal injury insurance and claims processes</li>
<li>Understanding of health insurance and claims processes</li></ul></li></ul></div>

Insurance Verifier

Blue Fish Pediatrics

We are currently looking for a full-time (35-40 hrs/week) Insurance Verification Specialist. This person is responsible for verifying and recording up-to-date health insurance benefits for patients in our EMR software. This employee will be based at our Cypress office, which is located at 9530 Huffmeister Rd.An ideal candidate for this position will possess the following qualities:- Quick-learner- Detail-oriented- Accurate- Types 50+ WPMPrevious experience in a similar role at a medical practice is preferred but not required. Working knowledge of eClinical Works is a plusPlease do not call our office directly as only those candidates who apply via Indeed will be considered.Job Type: Full-timePay: $14.00 - $17.00 per hourBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Education:<ul><li>High school or equivalent (Required)</li></ul>Work Location: In person

Rezolut, LLC

<div><div>Shin Imaging is seeking an Insurance Verification Representative to join our team!</div> 
Who is Rezolut?
Rezolut is a national emerging platform of diagnostic medical imaging services. With focus on four key platforms, our vision is to provide topnotch patient care partnered with innovative technology &mdash; to achieve better health outcomes.
We provide high-quality, cost-effective, fixed-site outpatient diagnostic imaging as well as mobile imaging and health services. In each of our regions, we are the best in radiology, offering all radiology services!<div><div><div><div><div>
Job Duties: 
<ul><li>Verify insurance coverage and eligibility for patients in a RADIOLOGY office setting</li><li>Communicate with insurance companies to obtain necessary information and resolve any discrepancies</li><li>Update patient records with accurate insurance information</li><li>Explain insurance benefits and coverage to patients</li><li>Assist patients with understanding their financial responsibilities and payment options</li><li>Collaborate with dental office staff to ensure accurate billing and claims submission</li></ul></div><div>
Qualifications: 
<ul><li>Previous experience working in a dental office or healthcare setting preferred</li><li>Knowledge of dental insurance plans and terminology</li><li>Strong attention to detail and accuracy in data entry</li><li>Excellent communication skills, both written and verbal</li><li>Ability to multitask and prioritize tasks effectively</li><li>Proficient in using computer systems and software for insurance verification</li></ul></div></div></div><div>
Job Type: Full-time</div><div>
Salary: $21.00 - $25.00 per hour</div><div>
Expected hours: 40 per week</div><div>
Benefits:<ul><li>
401(k)</li><li>
Dental insurance</li><li>
Health insurance</li><li>
Health savings account</li><li>
Life insurance</li><li>
Paid time off</li><li>
Vision insurance</li></ul></div></div></div></div>

Insurance Verification Representative

Trinity Health

Employment Type: 
Part time
 
Shift: 
Day Shift
 
Description: 
Job Title: Insurance Verification Specialist
 Employment Type: Per Diem
 Shift: Day need
 Location: Onsite requirement for training at41 University Dr, Newtown, PA 18940 then will move remote.
 
:
 The Insurance Verification Specialist will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes, Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne.
 
<ul>
<li>Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification,& urgent admission verification or scheduling.</li>
<li>Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections.</li>
<li>Begins the overall patient experience and initiates the billing process for any services provided by the hospital.</li>
</ul>
Minimum Qualifications: 
<ul>
<li>High School Diploma or equivalent.</li>
<li>Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.</li>
<li>National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.</li>
<li>Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.</li>
</ul>
Additional Qualifications (nice to have): 
<ul>
<li>Associates Degree, preferred.</li>
<li>Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting.</li>
<li>Experience in complex facility based ancillary testing across multiple facilities/states.</li>
<li>Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.</li>
</ul>
Position Highlights: 
<ul>
<li>Work/Life balance with flexible schedules. </li>
<li>Free onsite parking. </li>
<li>Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.  </li>
<li>Referral Rewards Program</li>
</ul>
Our Commitment
 
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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