insurance verification specialist

ADVOCATE RADIATION ONCOLOGY

We are currently looking for an experienced insurance verification specialist for a radiation oncology office.The responsibilities of the insurance authorization specialist wlll include, but are not limited to the following:<ul><li>ensuring scheduled procedures are verified as covered through the patients insurance.</li><li>verifying insurance coverage, eligibility, benefits, obtaining authorizations and pre-certs as required by the individual insurance company for any appointments or procedures that the patient may be scheduled.</li><li>entering complete verification, eligibility and benefit information in the patient accounting system to include the date, time and method used to obtain the verification/eligibility information for each patient.</li><li>Communicating with the physicians to assure they are aware of insurance status on their patients and whether or not they may proceed with plan.</li><li>Working closely with the billing department and assuring that accurate information is relayed to them.</li></ul>Working in person, in the office with others is required. Pay will be commensurate with experience.Job Type: Full-timePay: $20.00 - $23.50 per hourExpected hours: 40 per weekBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability 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>Ability to Commute:<ul><li>West Palm Beach, FL 33417 (Required)</li></ul>Willingness to travel:<ul><li>25% (Preferred)</li></ul>Work Location: Hybrid remote in West Palm Beach, FL 33417

Authorizations Specialist

Macrise Tech Solutions

We are looking for a detail-oriented and proactive Insurance Verification &amp; Authorization Specialist to join our medical billing team. In this role, you will be responsible for verifying patient insurance coverage, obtaining prior authorizations, and maintaining accurate records to ensure efficient billing and claims processing. The ideal candidate will demonstrate strong communication skills, a solid understanding of payer requirements, and the ability to work effectively in a fast-paced healthcare environment.Key ResponsibilitiesInsurance Verification &amp; Eligibility<ul><li>Verify patient insurance benefits through payer portals or by contacting insurance representatives directly.</li><li>Maintain accurate and up-to-date eligibility information in the Electronic Health Record (EHR) system (e.g., eClinicalWorks).</li><li>Complete and upload insurance verification forms promptly for all new patients.</li><li>Communicate estimated out-of-pocket costs to patients clearly and professionally.</li><li>Escalate unresolved coverage or balance concerns to the Patient Collections team.</li><li>Proactively follow up with patients to obtain missing or updated insurance information.</li></ul>Authorizations &amp; Compliance<ul><li>Obtain prior authorizations for services requiring insurance pre-approval.</li><li>Ensure compliance with Medicaid and other payer-specific authorization requirements.</li><li>Coordinate with the Patient Services team to address out-of-network cases.</li><li>Secure authorizations for psychological evaluations while maintaining accurate documentation and system alerts.</li></ul>Operational Support &amp; Coordination<ul><li>Support same-day or urgent appointment scheduling to maintain operational efficiency.</li><li>Report discrepancies related to billing, payer policies, or provider network status.</li><li>Collaborate with the Practice Manager to resolve incomplete intake documentation.</li><li>Participate in regular meetings with the Billing Manager to streamline workflows, improve accuracy, and enhance overall efficiency.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Patient Eligibility & Authorization Associate-Medical Billing

Sanadk Services

Job Summary We are seeking a detail-oriented and knowledgeable Insurance Analyst to join our team. The ideal candidate will have a strong background in managed care, medical office operations, and insurance verification. This role involves analyzing insurance claims, ensuring compliance with HIPAA regulations, and maintaining accurate medical records. The Insurance Analyst will play a crucial role in facilitating effective communication between healthcare providers, patients, and insurance companies.Responsibilities<ul><li>Review and analyze insurance claims for accuracy and completeness.</li><li>Verify patient insurance coverage and benefits prior to services rendered.</li><li>Maintain compliance with HIPAA regulations while handling sensitive patient information.</li><li>Utilize CPT coding, ICD-9, and ICD-10 coding systems to ensure proper billing practices.</li><li>Collaborate with medical staff to resolve any discrepancies in medical records or coding.</li><li>Assist in the management of medical terminology and documentation within the office.</li><li>Provide support for both dental and medical office operations as needed.</li><li>Prepare reports on claims processing and outcomes for management review.</li></ul>Qualifications<ul><li>Proven experience in managed care and medical office settings is preferred.</li><li>Strong understanding of HIPAA regulations and compliance standards.</li><li>Proficiency in CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with medical terminology and the ability to interpret medical records accurately.</li><li>Excellent organizational skills with attention to detail.</li><li>Strong communication skills for effective interaction with healthcare professionals and patients.</li><li>Previous experience in insurance verification is highly desirable.</li><li>Experience in a dental office environment is a plus but not required. Join our dedicated team of professionals committed to providing exceptional service in the healthcare industry. Your expertise as an Insurance Analyst will contribute significantly to our mission of delivering quality care while ensuring efficient insurance processes.</li><li>Able to communicate in Arabic and English ( Bi-lingual)</li></ul>Job Type: Full-timePay: QAR1,300.00 - QAR2,800.00 per month

Insurance Analyst

Medtronic

<div>At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You&rsquo;ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.
<h1 class="jobSectionHeader">A Day in the Life
</h1>Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as the Insurance Verification Executive for Patient Financial Services, India, this role is responsible for all aspects of insurance eligibility, and benefit verification, including customer service, with the objective of minimizing controllable denials and maximizing the clean claim rate within Patient Financial Services.
 
 
The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it.
 
 
Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease.
Responsibilities may include the following and other duties may be assigned:
As an Insurance Verification Executive for Patient Financial Services, the role involves following prescribed policies and procedures, performs a variety of verification tasks using standard healthcare guidelines.
<ul><li>Provides eligibility and insurance verification support to product sales teams by working assigned tasks within service level agreements.
</li><li>Utilizes the system, and/or contact the patient to obtain basic policy, plan and group numbers for all insurance carriers on the patient&rsquo;s account to confirm eligibility.
</li><li>Interact with insurance carriers/patients/websites to conduct comprehensive insurance benefit verifications for all insurance carriers with confirmed eligibility on the patient&rsquo;s account.
</li><li>Document insurance eligibility and benefits within the customer account to ensure accurate and timely billing for current and future customer orders.
</li><li>Collaborate with internal and external customers to assist our patients with questions on obtaining Medtronic products, therapy, troubleshooting, health insurance coverage concerns, transferring patients to the appropriate department as needed.
</li><li>Enters data into computer systems using defined resources and programs, and investigates questionable data, and recommends actions to resolve discrepancies.
</li></ul>Required Knowledge and Experience:
<ul><li>Bachelor&rsquo;s degree Business or Accounting major is preferred.
</li><li>1 to 2 years of insurance verification experience in a US healthcare environment.
</li><li>Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA&rsquo;s) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.
</li><li>Experience with medical billing and collections terminology &ndash; CPT, HCPCS and ICD-9 coding.
</li><li>Experience with HIPAA guidelines and healthcare compliance.
</li><li>Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities.
</li></ul>Physical Job Requirements
 
 
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.
<h1 class="jobSectionHeader">Benefits &amp; Compensation
</h1>Medtronic offers a competitive Salary and flexible Benefits Package
 
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. 
 
This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).
<h1 class="jobSectionHeader">About Medtronic
</h1>We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
 
Our Mission &mdash; to alleviate pain, restore health, and extend life &mdash; unites a global team of 95,000+ passionate people.
 
We are engineers at heart&mdash; putting ambitious ideas to work to generate real solutions for real people. From the R&amp;D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.</div>

Insurance Verification Executive

Norton Healthcare

<div>Responsibilities:
<div>
The Pre Service representative sets the patient&rsquo;s expectation and ensures a positive patient experience for upcoming surgical procedures and diagnostic tests by completing pre-registration and accurately and efficiently handling the day-to-day operations relating to financial clearance for the hospital system including adult and pediatric acute facilities and diagnostic centers. The pre service representative also initiates authorizations for non-scheduled hospital admissions as well as scheduled procedures as assigned. The pre service representative utilizes multiple systems simultaneously and works in a fast paced, productivity driven call center environment accepting inbound calls promptly and making outbound calls in a professional and courteous manner and independently works to resolve patient and provider questions related to referrals, pre-authorizations, and insurance verification. The representative possesses strong telephone communication and computer skills, problem-solving abilities, and demonstrates the highest level of customer service for all patients, providers, and other team members.</div>
Qualifications:
<div>
Required:</div><ul><li>
One year in Patient Registration, Insurance Verification, or Authorizations</li></ul><div>
Desired:</div><ul><li>
Three years Patient Access</li><li>
High School Diploma or GED</li></ul></div>

Pre-Service Representative, Days

Prime bpo and Telecommunications

Prime BPO is hiring Verifiers for our Final Expense Campaign. The selected candidates will be responsible for verifying U.S. customer information and ensuring accurate record maintenanceKey Responsibilities:<ul><li>Make outbound calls to U.S. customers</li><li>Identify customer needs and offer appropriate medical equipment solutions.</li><li>Maintain accurate call logs and ensure compliance with campaign standards.</li><li>Achieve daily and monthly verification targets.</li></ul>Requirements:<ul><li>Minimum 1 year of experience in a call center</li><li>Fluency in English with a confident and clear accent.</li><li>Strong communication and verification skills.</li><li>Ability to meet performance targets and work night shifts.</li></ul>Interview Timings:Walk-in Interviews: Mon&ndash;Fri | 6:00 PM &ndash; 11:00 PMLocation: First Floor, Plaza 169F, Civic Center, Bahria Town Phase 4.Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

Sales Verifier

Prime BPO is hiring Sales Verification Consultant for our international Campaigns. The selected candidates will be responsible for verifying U.S. customer information and ensuring accurate record maintenanceKey Responsibilities:<ul><li>Make outbound calls to U.S. customers</li><li>Identify customer needs and offer appropriate medical equipment solutions.</li><li>Maintain accurate call logs and ensure compliance with campaign standards.</li><li>Achieve daily and monthly verification targets.</li></ul>Requirements:<ul><li>Minimum 1 year of experience in a call center</li><li>Fluency in English with a confident and clear accent.</li><li>Strong communication and verification skills.</li><li>Ability to meet performance targets and work night shifts.</li></ul>Interview Timings:Walk-in Interviews: Mon&ndash;Fri | 6:00 PM &ndash; 11:00 PMLocation: First Floor, Plaza 169F, Civic Center, Bahria Town Phase 4.Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

Sales Verification Consultant

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