insurance verification specialist

USA Clinics Group

<div>Why USA Clinics Group?
Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we&rsquo;ve grown into the nation&rsquo;s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.
We&rsquo;re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we&rsquo;re even more excited about what&rsquo;s ahead, and the team we&rsquo;re building to get there. We look forward to meeting you!
Why You'll Love Working with us:
Rapid career advancement Competitive compensation package
Positive, team-oriented environment Work with cutting-ed technology
Make a real impact on patients&rsquo; lives Join a fast-growing, mission-driven company
USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.
Position Details:<ul><li>
Location: Northbrook, IL
</li><li>Schedule: Full-Time, Monday-Friday (on-site)</li><li>
Compensation: $23-$26hr based on experience and qualifications.</li></ul>
Responsibilities:<ul><li><ul><li>
Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.</li><li>
Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).</li><li>
Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going education of changes in authorization requirements.</li><li>
Responsible for scheduling STAT, emergent patients for outpatient diagnostic exams.</li><li>
Interacts with patients, their representatives, physicians, physician office staff, and others to gather and ensure accuracy of demographic, billing and clinical information.</li><li>
Produces and distributes required forms with accurate patient information.</li><li>
Respects and protects the patient&rsquo;s rights to confidentiality and privacy and discloses information only for the professional purposes which are in the patient&rsquo;s best interests with full consideration of their legal rights.</li><li>
Displays a positive attitude when interacting with provider&rsquo;s office staff, providers and fellow employees.</li><li>
Performs additional duties as assigned</li></ul></li></ul> 
Requirements 
<ul><li>
High school graduate required. Advanced education preferred.</li><li>
Bilingual in English &amp; Spanish required</li><li>
At least 2 years of prior experience in a health care setting handling benefit verification and prior authorizations, required
</li><li>Billing and Coding or other related certifications a plus</li><li>
Strong computers skills and excellent typing skills</li><li>
Immaculate attention to detail and excellent proofreading skills</li><li>
Excellent Customer Service skills</li><li>
Strong data entry skills</li><li>
Excellent organizational skills</li></ul> 

Benefits 
<ul><li>
Health insurance (medical, dental, vision)
</li><li>Retirement Plan
</li><li>Paid time off (PTO) (vacation, sick)</li></ul>
INDM2</div>

Insurance Verification Specialist - Spanish Speaking

Mac Care

We are seeking a detail-oriented and analytical Insurance Verification &amp; Eligibility Specialist to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage, determining eligibility, obtaining prior authorizations, and ensuring accurate documentation to support timely claim submission and payment. This role is critical in reducing claim denials, accelerating reimbursements, and supporting overall financial performance in a U.S. healthcare environment.Key Responsibilities: Insurance Verification &amp; Eligibility:<ul><li>Verify patient insurance coverage (commercial, Medicare, Medicaid, and other payers) prior to appointments or services.</li><li>Confirm benefits, deductibles, co-insurance, co-payments, policy limitations, and exclusions.</li><li>Review and interpret payer portals, EHR systems, and clearinghouses for real-time eligibility updates.</li><li>Ensure accurate documentation of verified benefits in the system.</li></ul>Authorization &amp; Pre-Certification:<ul><li>Obtain prior authorizations as required by payers for specific procedures, diagnostic tests, or treatments.</li><li>Communicate with insurance companies to resolve authorization discrepancies or incomplete information.</li><li>Track authorization status and follow up to secure approvals before service dates.</li></ul>Communication &amp; Coordination:<ul><li>Coordinate with providers, schedulers, and billing teams to ensure all insurance-related requirements are met prior to patient appointments.</li><li>Communicate coverage issues, payer requirements, or eligibility concerns to relevant teams promptly.</li><li>Provide guidance to patients regarding coverage expectations, if required.</li></ul>Documentation &amp; Data Accuracy:<ul><li>Maintain complete and accurate patient insurance information in the practice management or billing system.</li><li>Document all interactions, verification results, and authorization details in compliance with organizational policies.</li><li>Identify and correct missing or outdated insurance information.</li></ul>Denial Prevention &amp; RCM Support:<ul><li>Identify potential coverage issues that may result in claim denials.</li><li>Work closely with AR and Billing teams to support clean claim submission.</li><li>Review denial trends related to coverage or eligibility and provide feedback to the team.</li></ul>Qualifications &amp; Requirements:Education:<ul><li>Bachelor&rsquo;s degree preferred, but not mandatory.</li><li>High school diploma or equivalent required.</li></ul>Experience:<ul><li>1&ndash;2 years of experience in U.S. Healthcare Revenue Cycle Management (Insurance Verification, Eligibility, Front-End RCM).</li><li>Experience with commercial insurances, Medicare, Medicaid, and managed care plans preferred.</li><li>Familiarity with EMR systems, clearinghouses, and payer portals.</li></ul>Job Type: Full-timeWork Location: In person

Insurance Verification-Eligibility Specialist

Beacon Health System

<div><div><div><div><div><div>Beacon Health System is hiring a full-time day Patient Access Insurance Specialist, in our Verification of Benefits Department at Beacon Health System in South Bend, IN. 
 
Be a Beacon. Make a Difference.
At Beacon Health System, you&rsquo;re not just part of a team, you&rsquo;re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.
<ul><li>Medical, Dental, &amp; Vision Insurance through Cigna</li>
</ul><ul><li>Life Insurance</li>
</ul><ul><li>403(b) Matching Retirement Fund</li>
</ul><ul><li>Competitive Paid Time Off (PTO)</li>
</ul><ul><li>Shift Differentials</li>
</ul><ul><li>Employee Assistance Program (EAP)</li>
</ul><ul><li>Tuition and Certification Reimbursement</li>
</ul><ul><li>Clinical Ladder Program</li>
</ul><ul><li>Local and National Discounts</li>
</ul><ul><li>Beacon Academy Educational Courses</li>
</ul><ul><li>Gym Membership Discount</li>
</ul>
About Beacon Health System
Headquartered in South Bend, Indiana, as a not-for-profit, community-governed health system, Beacon Health System provides care to more than 4,000 patients each day in northern Indiana and southern Michigan.
What You&rsquo;ll Do
As a Patient Access Insurance Specialist, you will report to the Patient Access Director or the Insurance Specialist Supervisor. Follows established Beacon policies and procedures to verify insurance coverage to ensure necessary procedures and hospitalizations are covered by an individual's provider. The Insurance Verification Authorization Specialist will assure authorization is obtained for all procedures and diagnostic testing to services being rendered. The Authorization Specialist will also initiate the authorization for direct admissions, emergency admissions, and emergency procedures. They will work closely with medical staff, clinical staff, referring clinics, Beacon Outpatient Scheduling Surgery Scheduling, Social Services, and Utilization Review departments. They will be responsible for communication with insurance carriers and/or providers for purposes of obtaining approval for services requiring authorization, pre-certification, and prior approval for admissions to Beacon or Epworth Center by using web-based tools, other electronic means where possible, or by telephoning and faxing when necessary. Coordinating those visits with the correct paperwork and insurance verification, along with accurate documentation in the patient's medical record is essential. They will answer high volume of incoming phone calls as well as making high volume of outbound phone calls, with constant communication to the Utilization Review, Social Services, Beacon Outpatient Scheduling and Surgery Scheduling departments. Performs other clerical duties as necessary.
Patient Access Insurance Specialist Job Responsibilities:
<ul><li>Verify and update patient demographic and financial information to ensure accuracy in the registration system.</li>
<li>Obtain and validate insurance coverage using online eligibility systems, payer portals, and telephone verification.</li>
<li>Utilize Cerner systems and reports (e.g., PHS, SurgiNet, Medical Necessity Checker) to review scheduled patients, procedures, and medical necessity requirements.</li>
<li>Audit and complete required documentation, including MSP questionnaires and insurance verification records.</li>
<li>Coordinate verification of benefits (VOB) by confirming co-pays, deductibles, coinsurance, out-of-pocket limits, and rehabilitation benefits with insurance providers.</li>
<li>Secure and document pre-authorizations and pre-certifications for ancillary, surgical, outpatient, and inpatient procedures.</li>
<li>Collaborate with physician offices, scheduling teams, and referring facilities to ensure required authorizations are obtained and procedures are properly scheduled.</li>
<li>Validate CPT and ICD-10 codes and confirm compliance with Medicare Inpatient Only Procedure (MIPO) requirements when applicable.</li>
<li>Identify out-of-network insurance plans and follow established policies and procedures.</li>
<li>Refer patients to Financial Counselors or Eligibility Specialists when financial clearance or payment arrangements are required.</li>
<li>Maintain accurate worklists, documentation, and records to support timely claim submission and reimbursement.</li>
<li>Calculate and communicate estimated patient financial responsibility, including co-payments and coinsurance.</li>
<li>Prepare reports, patient statistics, and documentation to support departmental operations and leadership requests.</li>
<li>Provide professional customer service by answering calls, communicating with patients and internal departments, and maintaining positive patient relations.</li>
<li>Collaborate with departments such as Utilization Review, Surgery Scheduling, Social Services, and Outpatient Scheduling to ensure accurate and timely patient processing.</li>
<li>Support departmental quality goals by maintaining productivity, accuracy, and compliance with Beacon policies and procedures.</li>
<li>Maintain professionalism while representing Beacon Health System and perform other duties as assigned.</li>
</ul>
What You Bring
As a Patient Access Insurance Specialist, it requires strong office and computer skills, including keyboarding (minimum 40 wpm), data entry, and proficiency with systems such as Cerner, Pathways Healthcare Scheduling, Experian, and MCA Compliance Checker. Demonstrates knowledge of medical terminology, insurance coverage, managed care networks, ICD-10 and CPT codes, and time-of-service collections, including the ability to clearly communicate financial responsibilities to patients. You will possess strong telephone, verbal communication, and listening skills to effectively interact with patients, insurance companies, physicians, and internal departments. You will maintains professionalism and sensitivity when working with diverse populations, follows strict confidentiality policies, exercises sound judgment in stressful situations, and applies basic math skills to calculate patient financial responsibilities such as deductibles, coinsurance, and out-of-pocket costs.
Required Qualifications
<ul><li>The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a high school diploma (or equivalent).
</li><li>A minimum of two years of experience in a hospital or physician practice business office is required.
</li><li>Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills required.</li>
<li>A medical terminology course must be successfully completed prior to employment.
</li><li>Associate's degree preferred.
</li><li>Medical prior authorizations or claims experience in a managed care setting and CHAA certification are highly preferred.</li>
</ul>
The Beacon Way
At Beacon Health System, our approach to care goes beyond clinical excellence because it&rsquo;s built on meaningful connections. Guided by our core values of Trust, Respect, Integrity, and Compassion, we strive to create an environment where patients feel heard, employees feel valued, and innovation thrives.
We call this commitment The Beacon Way&mdash;a six-point operating system that empowers every team member to lead with purpose, communicate clearly, cultivate talent, embrace performance improvement, leverage innovation, and build greatness through accountability. Whether at the bedside or behind the scenes, everyone at Beacon plays a role in moving health forward.</div> 
</div>
</div></div></div> 
Location: Beacon Health System &middot; Verification of Benefits 
Schedule: Full-time, Day, 0830-5pm M-F</div>

Patient Access Insurance Specialist, Verification of Benefits Department, Full-Time Days

Surgery Ventures

<div><h4 class="jobSectionHeader">This full time position will travel between the HCA Surgery Centers in Salt Lake City and Provo to provide front desk coverage as needed. When not traveling to a center, this position will work from home assisting the Central Business Office with insurance verification and billing work.</h4>
Do you want to join an organization that invests in you as a Business Office Specialist -Float? At Mountain West Surgery Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5> 
<h5 class="jobSectionHeader"> 
We are seeking a Business Office Specialist - float who contributes to the company&rsquo;s mission, vision, and values by handling various business office functions. You will be responsible for billing, cash posting, chart preparation, cash posting, collections, insurance verification, medical records, patient registration and scheduling. 
What you will do:<ul><li> 
You will rotate to other ambulatory surgery center facilities</li><li>
You will handle various business office duties to include: billing, chart preparation, cash posting, collections, insurance verification, medical records, patient registration and scheduling</li><li>
Be responsible for accurately performing all functions of your patient admissions</li><li>
Perform and document insurance pre-certification, verification and interviews for your patients prior to surgery</li><li>
You will identify coding or billing problems from EOBs and works to correct errors in a timely manner</li><li>
You will prepare accounts for rebilling</li><li>
You will file secondary insurance and send to the designated carrier with proper documentation</li><li>
Schedule your patient surgical procedures and maintain the surgery schedule</li></ul> 
Qualifications you will need:<ul><li> 
Minimum 2 years of experience in a medical office setting, preferably an ambulatory setting</li></ul> 

Benefits</h5>
Mountain West Surgery Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Business Office Specialist -Float opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Business Office Specialist -Float

Zue Pvt Ltd

Job Title: Physician Billing Specialist Location: Main Shahra-e-Faisal, Karachi Employment Type: Full-time and On-site Shift Timings: 06:00 PM to 03:00 AM PKT Working Days: Monday to FridayAbout the Role:We are looking for adetail-oriented and proactive Physician Billing Specialist to join our team. You will ensure accurate insurance verification, follow up on unpaid or denied claims, and maintain compliance with billing regulations. Your work will directly support our physicians and help streamline revenue processes.Job Responsibilities:<ul><li>Insurance Verification:</li></ul>Ensure patient insurance info is accurate and up-to-date. Validate insurance plan status, ID numbers, patient names, and DOBs.<ul><li>Claims Follow-Up &amp; Resolution:</li></ul>Investigate unpaid or denied claims across all insurance carriers. Challenge &ldquo;no claim found&rdquo; responses and provide proof of submission. Escalate issues to supervisors when necessary to ensure resolution.<ul><li>Documentation &amp; Communication:</li></ul>Record all interactions with insurance representatives in Nextech, including call reference IDs and summaries. Maintain detailed notes to ensure continuity for future follow-ups.<ul><li>Compliance &amp; Timeliness:</li></ul>Ensure claim-related actions meet payer-specific filing and appeal deadlines. Follow HIPAA and federal/state billing regulations. Communicate urgent claim issues requiring physician or clinic staff input.Job Requirements:<ul><li>Previous experience in physician billing, insurance verification, or claims follow-up.</li><li>Familiarity with Nextech or similar EHR/Billing systems preferred.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication skills for interacting with insurance representatives.</li><li>Knowledge of HIPAA regulations and medical billing compliance.</li></ul>Perks &amp; Benefits:<ul><li>OPD &amp; IPD health coverage for self, dependents, and parents.</li><li>Life insurance for self.</li><li>Fuel card for male employees.</li><li>Free pick &amp; drop for female employees.</li><li>In-house gym facility.</li><li>Paid leaves &amp; US holidays.</li><li>Referral bonus program.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current salary? </li><li>What is your expected salary? </li><li>If selected? Would you be able to join immediately? </li><li>Residential Area in Karachi? </li><li>Are you comfortable working onsite from 06:00 PM to 03:00 AM PKT (Night Shift)? </li></ul>Work Location: In person

Physician Billing Specialist

Macrise Tech Solutions

We are seeking a highly organized and detail-oriented Insurance Verification &amp; Authorization Specialist to join our medical billing team. This role is critical in ensuring accurate verification of patient insurance coverage, obtaining timely prior authorizations, and maintaining complete and compliant documentation to support efficient billing and claims processing.The ideal candidate will have excellent communication skills, strong attention to detail, and a solid understanding of payer requirements, with the ability to thrive in a fast-paced healthcare environment.Key ResponsibilitiesInsurance Verification &amp; Eligibility<ul><li>Verify patient insurance coverage through payer portals and direct communication with insurance providers.</li><li>Maintain accurate and up-to-date eligibility records within the Electronic Health Record (EHR) system (e.g., eClinicalWorks).</li><li>Complete and upload insurance verification documentation promptly for all newly registered patients.</li><li>Clearly communicate estimated patient financial responsibilities, including copayments, deductibles, and out-of-pocket expenses.</li><li>Escalate unresolved eligibility discrepancies or coverage concerns to the Patient Collections team when necessary.</li><li>Proactively follow up with patients to obtain missing, corrected, or updated insurance information.</li></ul>Authorizations &amp; Compliance<ul><li>Obtain prior authorizations for medical and behavioral health services requiring insurance approval.</li><li>Ensure compliance with Medicaid and other payer-specific authorization guidelines and policies.</li><li>Coordinate with the Patient Services team to manage out-of-network insurance cases.</li><li>Secure authorizations for psychological assessments while maintaining accurate documentation and system alerts.</li></ul>Operational Support &amp; Collaboration<ul><li>Assist with urgent or same-day appointment scheduling as needed.</li><li>Monitor and communicate updates related to payer policies, billing concerns, and provider network participation.</li><li>Collaborate with the Practice Manager to resolve incomplete or inaccurate patient intake documentation.</li><li>Participate in team meetings to improve workflow efficiency, enhance data accuracy, and support continuous process improvements.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

VOB & Pre-Authorization Specialist

AdaptHealth

<div>Description:

Position Summary:
The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region&rsquo;s individual needs. As needed, may need to deliver and set up medical equipment.
The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team.
Essential Functions and Job Responsibilities:<ul><li>
Supports operations team with discovery and training as necessary with AdaptHealth processes.</li><li>
Responsible for providing support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis.</li><li>
Develop and maintain working knowledge of current products and services offered by the company</li><li>
Must be familiar with payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services.</li><li>
Working knowledge in all areas of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end, which may include</li></ul><ul><li>
Review all required documentation to ensure accuracy</li><li>
Accurately process, verify, and/or submit documentation</li><li>
Complete insurance verification to determine patient&rsquo;s eligibility, coverage, co-insurances, and deductibles</li><li>
Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required (if helping a region)</li><li>
Navigate through multiple online EMR systems to obtain applicable documentation</li><li>
Enter and review all pertinent information in EMR system including authorizations and expiration dates</li><li>
Meet quality assurance requirements and other key performance metrics</li></ul><ul><li>
Pays attention to detail and has great organizational skills</li><li>
Actively listens to teams, region leaders and handle stressful situations with compassion and empathy.</li><li>
Ability to analyze data and reports to identify execution errors in workflow, troubleshoot and fix the exceptions, advise staff on corrections.</li><li>
Collaborate with the Operations Team on exceptions and solutions within workflow processes</li><li>
Communicate with operations teams and leadership on an on-going basis regarding any noticed trends in process errors with insurance companies</li><li>
Assist with various projects and tasks as needed for various unique processes</li><li>
Participate in the effort to define, document, and refine processes, procedures and workflows for business operations based on industry and company best-practices.</li><li>
Participate in the effort to create training materials and train client engagement and service teams</li><li>
Must be able to navigate through multiple online EMR systems to obtain applicable documentation.</li><li>
Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments.</li><li>
As needed, perform patient assessment and re-assessment for patient care, deliver medical equipment.</li><li>
Safely drive as needed and maintain company vehicle.</li><li>
Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling.</li><li>
Assume on-call responsibilities during non-business hours in accordance with company policy.</li></ul><ul><li>
Lead Responsibilities:</li><li>
Supervise and provide guidance to team members in daily operations and complex case resolution</li><li>
Lead team meetings and facilitate training sessions for staff development</li><li>
Monitor team performance metrics and productivity standards, providing feedback and coaching as needed</li><li>
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions</li><li>
Develop and implement process improvements and workflow optimization strategies</li><li>
Coordinate with management on staffing needs, scheduling, and resource allocation</li><li>
Conduct new employee onboarding and ongoing training programs</li><li>
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions</li><li>
Prepare reports and analysis on team performance, trends, and operational metrics for management review</li></ul><ul><li>
Maintains patient confidentiality and functions within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other education programs as required.</li><li>
Maintains compliance with AdaptHealth's Compliance Program.</li><li>
Performs other related duties as assigned.</li></ul>
Competency, Skills and Abilities:<ul><li>
Excellent ability to communicate both verbally and in writing</li><li>
Ability to prioritize and manage multiple tasks</li><li>
Proficient computer skills and knowledge of Microsoft Office</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction</li><li>
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.</li><li>
Work well independently and as part of a group</li><li>
Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
High school diploma or equivalent required; Associate&rsquo;s degree in healthcare administration, Business Administration, or related field preferred</li><li>
Valid and unrestricted driver's license in the state of residence.</li><li>
Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.</li><li>
Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services</li><li>
Specialist Level: (Entry Level):</li></ul>
One (1) year of work-related experience<ul><li>
Senior Level:</li></ul>
One (1) year of work-related experience plus
Two (2) years exact job experience<ul><li>
Lead Level:</li></ul>
One (1) year of work-related experience plus
Four (4) years exact job experience
Physical Demands and Work Environment:<ul><li>
Must be able to regularly lift and/or move up to 50 pounds, frequently lift and/or move up to 100 pounds, and occasionally lift and/or move up to 160 pounds.</li><li>
Must be able to stretch, bend, stoop and crouch and perform moderate to heavy physical labor while moving equipment and supplies.</li><li>
Subject to long periods of sitting and/or driving.</li><li>
Work environment may be stressful at times, as overall work activities and work levels fluctuate.</li><li>
May be exposed to unsanitary conditions in some home settings.</li><li>
May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.</li><li>
May be exposed to high crime areas within the service community.</li><li>
Must be able to drive independently and travel as needed.</li><li>
May be exposed to angry or irate customers.</li><li>
Must be able to access the patient&rsquo;s residence without assistance.</li><li>
Ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy.</li></ul></div>

Operations Specialist

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