insurance verification representative

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

Med-Metrix

Job Purpose
 
The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems.
 
Duties and Responsibilities
 
Utilize payer web portals to obtain patients current insurance information and update the information in the client system
 
Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account
 
Once updates are entered in client system, follow procedure on filing the claims
 
Comment all actions taken in internal and client host system
 
Work independently from assigned work queues
 
Meets and maintains daily productivity/quality standards established in departmental policies
 
Adheres to the policies and procedures established for the client/team
 
Communicate effectively with leadership
 
Maintain a professional attitude
 
Other duties as assigned by the management team
 
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
 
<ul>
<li>Understand and comply with Information Security and HIPAA policies and procedures at all times</li>
<li>Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties</li>
</ul>
Qualifications
 
High school diploma or equivalent required
 
Insurance Verification knowledge helpful
 
Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred
 
Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere
 
Ability to work well individually and in a team environment
 
Strong organizational and task prioritization skills
 
Proficiency in Microsoft Office Suite. Must have basic Excel skillset
 
Strong communication skills/oral and written
 
Strong organizational skills
 
<ul>
<li>Strong interpersonal skills, ability to communicate well at all levels of the organization</li>
<li>Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses</li>
<li>High level of integrity and dependability with a strong sense of urgency and results oriented</li>
<li>Excellent written and verbal communication skills required</li>
<li>Gracious and welcoming personality for customer service interaction</li>
</ul>
Working Conditions
 
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
 
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
 
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
 
Work Environment: The noise level in the work environment is usually minimal.
 
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Evergreen - Insurance Verification Representative

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

Insurance Verification Specialist

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.

Insurance Verification Specialist-Per Diem

Therapeutic Alliance and Testing Center, LLC

Job SummaryWe are seeking a detail-oriented Insurance Benefits Verification and Authorization Specialist to join our Behavioral Health team. This role is responsible for verifying patient insurance benefits, obtaining prior authorizations for services, and ensuring accurate documentation to support timely billing and reimbursement. The ideal candidate has experience working with behavioral health insurance policies and strong communication skills when interacting with insurance companies, providers, and administrative staff.Key Responsibilities<ul><li>Verify patient insurance eligibility and behavioral health benefits prior to scheduled appointments.</li><li>Contact insurance companies to confirm coverage details, copays, deductibles, coinsurance, and authorization requirements.</li><li>Obtain prior authorizations for behavioral health services including therapy, psychological testing, and other clinical services.</li><li>Accurately document insurance verification details in the Electronic Health Record (EHR) or billing system.</li><li>Communicate authorization status and benefit information with providers and administrative staff.</li><li>Track authorization approvals, expirations, and follow up on pending requests.</li><li>Assist with resolving insurance verification issues that may impact billing or patient scheduling.</li><li>Maintain compliance with HIPAA and confidentiality standards.</li><li>Support the billing department with claim-related insurance inquiries when needed.</li></ul>Qualifications<ul><li>1&ndash;2 years of experience in insurance verification or medical authorization (Behavioral Health experience preferred).</li><li>Knowledge of commercial insurance, Medicaid, Medicare, and managed care plans.</li><li>Familiarity with prior authorization processes for mental health services.</li><li>Experience working with EHR systems and insurance portals.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and phone etiquette when interacting with insurance representatives.</li><li>Ability to manage multiple tasks and meet deadlines in a fast-paced environment.</li></ul>Preferred Qualifications<ul><li>Experience in behavioral health or mental health clinics.</li><li>Knowledge of CPT codes related to therapy and psychological testing.</li><li>Experience coordinating with providers, intake coordinators, and billing teams.</li></ul>Skills<ul><li>Insurance verification</li><li>Prior authorization management</li><li>Medical billing knowledge</li><li>Documentation accuracy</li><li>Problem solving and follow-up</li><li>Time management</li></ul>Benefits<ul><li>Competitive salary</li><li>Professional development opportunities</li></ul>Job Type: Full-timeWork Location: In person

Insurance Verificiation and Authorization Specialist

Premier Medical Resources

<div><div>Premier Medical Resources is looking for an Insurance Verification Specialist to join our team! 
 
**Remote opportunity after 30-90 day in-person training**</div>
<div></div><div>The Insurance Verification Specialist is responsible for verifying the patient's insurance coverage, ensuring surgery and procedures are covered by an individual&rsquo;s insurance plan. Creates cost estimates prior to the surgery date and communicates cost to patients. In addition to, entering and verifying accurate data and updating patient benefit information in the Electronic Medical Records (EMR).</div>
<div></div><div>ESSENTIAL FUNCTIONS:</div>
<ul><li>Assists front office with verification questions or concerns</li>
<li>Resolves any coverage issues and update patient EMR</li>
<li>Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient EMR</li>
<li>Serves as a liaison between the patient, facility, physicians, and other departments to ensure timely and accurate financial clearance of all accounts</li>
<li>Verifies patient insurance coverage and benefits through online portals, phone calls, and other resources</li>
<li>Verifies insurance eligibility along with benefits and ensures all notifications and authorizations are completed by the surgery date</li>
<li>Identifies patient accounts based on self-pay, PPO, HMO, personal injury, workmen&rsquo;s compensation or other managed care organizations</li>
<li>Collects relevant data for eligibility and benefit verification including all ICD-10 and billable CPT codes per orders</li>
<li>Communicates with internal and external individuals to obtain information, resolve benefit issues, and ensure accurate benefit information is obtained</li>
<li>Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner</li>
<li>Ensures accounts are financially secured by reviewing and documenting benefits, patient responsibilities, authorization requirements, and other relevant information</li>
<li>Creates financial arrangements, alongside management, when a patient is unable to complete payment</li>
<li>Responds promptly to requests and keeps open channels of communication with physician, patient, and service areas regarding financial clearance status and resolution</li>
<li>Collaborates with billing and coding departments to ensure correct processing of claims</li>
<li>Calculates co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable</li>
<li>Completes high-quality work while adhering to productivity standards</li>
<li>Performs miscellaneous job-related duties as assigned</li>
</ul>
<div></div><div>KNOWLEDGE, SKILLS, AND ABILITIES:</div>
<ul><li>Demonstrates ability to use basic computer functions, technology and Microsoft office (excel, word)</li>
<li>Broad knowledge of the content, intent, and application of HIPAA, federal and state regulations</li>
<li>Ability to work independently with little or no supervision as well as function within a team</li>
<li>Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization</li>
<li>Good communication skills (verbal / written) providing a great patient experience</li>
<li>Ability to work effectively in a fact paced environment</li>
<li>Strong knowledge of managed care, medical terminology, CPT Coding and ICD10</li>
<li>Demonstrates use of appropriate modifiers, HIPAA regulations, and insurance verification procedures</li>
<li>Knowledge of payor guidelines including reading, understanding and interpreting medical records and payor requirements etc.</li>
<li>Ability to think critically, assess problems and provide problem resolutions</li>
<li>Demonstrates attention to detail, accountability, people skills, problem solving and decision-making skills</li>
</ul>
<div></div><div>EDUCATION AND EXPERIENCE:</div>
<ul><li>High School Diploma or GED</li>
<li>One (1) year of hospital revenue cycle experience</li>
<li>One (1) year of general customer service experience</li>
</ul>
<div></div><div><div>BENEFITS:</div>
<ul><li>3 Medical Plans</li>
<li>2 Dental Plans</li>
<li>2 Vision Plans</li>
<li>Employee Assistant Program</li>
<li>Short- and Long-Term Disability Insurance</li>
<li>Accidental Death &amp; Dismemberment Plan</li>
<li>401(k) with a 2-year vesting</li>
<li>PTO + Holidays</li>
</ul>
</div><div></div><div><div>Please visit our website for more information:</div>
<div>www.pmr-healthcare.com</div>
<div> 
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet. 
 
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening.</div></div></div>

Insurance Verification Specialist (Clinic)

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