medical insurance 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

Nulton Diagnostic

<div>BILLING SPECIALIST
Position Description:
We are looking for a Billing Specialist to join our Team!
The Billing Specialist is responsible for all aspects of medical billing within our Agency. Duties include, but are not limited to: speaking with insurance companies, obtaining prior authorizations, daily entry of data, and determining insurance eligibilities. The Billing Specialist will also check eligibilities on patients, communicate directly with patients regarding billing, obtain authorizations and update and maintain patient insurance in the current software. Additional responsibilities will include:
a. Post payments from insurance and clients 
b. Management of the denials/rejections 
c. Reading and understanding 835 files 
d. Generate 1500 form claims via paper or electronically 
e. Navigate insurance websites/maintain user status 
f. General billing duties related to the scope of the position, but not mentioned specifically above.
Education, Experience, Skills, Training:
High School Diploma or equivalent.
The successful applicant must have excellent communication skills, computer skills, and knowledge of Medicare, Medicaid, Commercial and Third-Party Insurers. Applicant must have efficient knowledge of eligibility verification and claims processing. At least one year of billing experience preferred. Must be able to obtain Act 33, Act 34 and FBI clearances.
This is a full-time position with medical, dental and vision benefits, as well as, 401(k) Retirement Plan with matching company contributions, paid vacation and paid holidays.
Nulton Diagnostic and Treatment Center is an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status.</div>

Billing Specialist

Rehabilitation Equipment Associates

Job SummaryREQ, a family owned Durable Medical Company in Manchester, is looking for a Billing Specialist to join our awesome Billing Team! The Billing Specialist plays a crucial role in the healthcare industry by ensuring accurate and timely billing processes.Candidate will work with insurance companies to ensure proper reimbursement, management and processing of accounts in a timely manner.<ul><li>Responsibilities include pre-authorization of benefits and eligibility, refiling claims, payer and client account follow-ups.</li><li>Review and analyze medical records for proper coding and billing.</li><li>Assign appropriate diagnostic and procedural codes.</li><li>Experience in medical office billing or collections is preferred.</li><li>Strong attention to detail and accuracy in data entry.</li><li>Excellent communication skills to interact with patients, providers, and insurance companies.</li></ul>On-the-job training provided. Candidate may submit resume.<ul><li>We are an Equal Opportunity Employer!</li></ul>Job Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Billing Representative

Zeal Integrated Health

Overview We are seeking a detail-oriented and experienced Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and coding, with proficiency in various coding systems. This role is essential in ensuring accurate billing processes and maintaining compliance with medical regulations. The Billing Specialist will work closely with healthcare providers and insurance companies to facilitate smooth billing operations.Duties<ul><li>Process and manage medical billing for various services rendered by healthcare providers.</li><li>Utilize coding to ensure accurate claim submissions.</li><li>Review patient records for completeness and accuracy before billing.</li><li>Handle medical collections and follow up on outstanding claims or payments.</li><li>Maintain organized medical records and ensure compliance with relevant regulations.</li><li>Collaborate with healthcare staff to resolve billing discrepancies or issues.</li><li>Utilize EMR and EHR systems effectively for documentation and billing purposes.</li><li>Stay updated on changes in medical terminology, coding practices, and insurance policies.</li></ul>Requirements<ul><li>Proven experience in medical billing, coding, or a related field is essential.</li><li>Familiarity with general medical terminology is required.</li><li>Experience with EMR and EHR systems is highly desirable.</li><li>Strong attention to detail and organizational skills are a must.</li><li>Excellent communication skills for interacting with healthcare providers and patients.</li><li>Previous experience in a medical office setting is preferred.</li><li>Ability to work independently as well as part of a team in a fast-paced environment. If you are passionate about ensuring accurate medical billing processes and possess the necessary skills, we encourage you to apply for this rewarding opportunity as a Billing Specialist.</li></ul>Job Type: Full-timePay: $18.00 - $21.00 per hourBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Paid time off</li></ul>Work Location: In person

Standard High School & College

Job Title: Medical Billing and Credentialing Specialist Company: Deosai Medical Services Location: I-8, Islamabad (On-site) Job Type: Full-time Reports To: Medical Billing and Credentialing ManagerJob Summary:The Medical Billing and Credentialing Specialist at Deosai Medical Services is responsible for overseeing all billing processes and managing provider credentialing. The role ensures timely and accurate submission of claims to insurance companies while verifying the credentials of healthcare providers to maintain compliance with regulatory standards. This specialist will work closely with providers, insurance companies, and internal teams to optimize billing accuracy and ensure proper credentialing.Key Responsibilities:Billing:<ul><li>Submit and process medical claims to insurance companies in compliance with all regulations.</li><li>Ensure accuracy in coding (CPT, ICD-10, HCPCS), modifiers, and documentation before submission.</li><li>Follow up on denied or rejected claims and manage appeals as necessary.</li><li>Track and resolve outstanding accounts receivables.</li><li>Send out patient bills, handle inquiries, and process payments.</li><li>Maintain accurate patient and insurance records</li></ul>Credentialing:<ul><li>Manage credentialing and re-credentialing processes for healthcare providers.</li><li>Ensure all providers comply with state and federal regulations, including licenses and certifications.</li><li>Complete and submit credentialing applications to insurance carriers and healthcare organizations.</li><li>Track credentialing status and resolve any delays or discrepancies.</li><li>Maintain up-to-date provider contracts, credentialing records, and licensing.</li></ul>Compliance &amp; Reporting:<ul><li>Stay updated on billing and credentialing regulations to ensure compliance.</li><li>Generate reports on billing and credentialing activities.</li><li>Assist with internal audits to ensure adherence to best practices and regulations.</li></ul>Collaboration:<ul><li>Coordinate with healthcare providers to gather necessary documentation for billing and credentialing.</li><li>Collaborate with insurance companies to resolve claims and credentialing issues.</li><li>Work with finance and administrative teams to improve the revenue cycle.</li></ul>Qualifications:<ul><li>High school diploma or equivalent required; Associate&rsquo;s or Bachelor&rsquo;s degree in healthcare administration, business, or related field preferred.</li><li>Proficiency in the English language</li></ul>Experience:<ul><li>2+ years of experience in medical billing, coding, and credentialing.</li><li>Strong knowledge of billing practices, insurance regulations, and credentialing procedures.</li><li>Experience with medical billing software and EHR systems (e.g., Epic, Kareo, AdvancedMD).</li></ul>Skills:<ul><li>Knowledge of CPT, ICD-10, and HCPCS coding standards.</li><li>Familiarity with Medicare, Medicaid, and commercial insurance billing processes.</li><li>Strong organizational skills and attention to detail.</li><li>Excellent communication and interpersonal skills.</li><li>Ability to work independently and as part of a team.</li><li>Proficiency in Microsoft Office Suite (Excel, Word).</li></ul>Job Type: Full-timeWork Location: In person

Medical Billing and Credentialing Specialist

PROMD Practice Management

<div><div><div>Benefits:</div>
<ul><li>401(k)</li>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Opportunity for advancement</li>
<li>Paid time off</li>
<li>Vision insurance</li>
<li>401(k) matching</li>
<li>Flexible schedule</li>
 </ul></div><div><div>Medical Insurance Collection Specialist 
</div><div>ProMD&rsquo;s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Specialist. This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers. 
</div><div>Qualifications 
</div><div>Candidates must meet the following requirements: 
</div>Proven experience in medical insurance collection department. 
<ul><li>
</li>Strong knowledge of medical appeal guidelines and insurance verification processes. 
<li>
</li>Proficiency in managing appeals and conducting insurance verification. 
<li>
</li>Strong communication skills (written and verbal). 
<li>
</li>Proficient in Microsoft Excel. 
<li>
</li>Knowledge of medical billing guidelines across multiple specialties, including but not limited to OB/GYN, Cardiology, Gastroenterology, and Primary Care. 
<li>
</li><li>Note: This is not an entry-level position. Prior experience and hands-on medical insurance collection experience are required. 
</li></ul><div>Responsibilities 
</div>Analyze reimbursement procedures and account activity to ensure maximum reimbursement. 
<ul><li>
</li>Review and evaluate denials to determine and implement required actions to overturn denials. 
<li>
</li>Identify denial trends related to assigned clients in efforts to implement corrective actions. 
<li>
</li>Achieve unit daily account average target and work deligently to maintain assigned client's AR below 18%. 
<li>
</li>Utilize insurance portals to appeal denied claims. 
<li>
</li>Focus on payer profiles, contract adherence, and denied claim resolution. 
<li>
</li>Identify problem trends such as incorrect coding, carrier nonpayment patterns, and physician coding inconsistencies. 
<li>
</li>Maintain and promote a positive, and professional work environment while maintaining strict confidentiality. 
<li>
</li>Provide consistent support to clients, management, and team members. 
<li>
</li></ul><div>Benefits 
</div>401(k) 
<ul><li>
</li>401(k) matching 
<li>
</li>Dental insurance 
<li>
</li>Health insurance 
<li>
</li>Vision insurance 
<li>
</li>Life insurance 
<li>
</li>Paid time off 
<li>
</li>Paid holidays 
<li>
</li></ul><div>Job Type: Full-time 
</div><div>Schedule: 
</div>8-hour shift 
<ul><li>
</li>Monday to Friday 
<li>
</li></ul><div>Work Location: On-site / In person</div></div></div>

Insurance Collection Specialist

Aegis Health Services

<div>
 
 
 Company Description
 
 
 
 Aegis Health Services is dedicated to driving better patient outcomes through population health management. The organization focuses on improving healthcare delivery by ensuring that patients receive coordinated and comprehensive care. With a strong emphasis on quality, Aegis Health Services strives to create impactful and sustainable solutions in the healthcare industry.
 
 
 
 
 
 
 Role Description
 
 
 
 This is a full-time hybrid role for a Medical Billing Specialist based in Sandy Springs, GA, with the flexibility to work partially from home. We are looking for an organized and experienced medical billing specialist. The medical billing specialist will be responsible for multiple aspects of the revenue cycle and must be able to multitask, prioritize, and manage time efficiently.
 
 
 
 
 
 Duties will include but are not limited to:
 
 
 
 
 <ul>
 <li>
 Reviewing daily charges for accuracy by verifying patient and payor information on all patients and claims.
 </li>
 <li>
 Performing insurance verification and eligibility checks.
 </li>
 <li>
 Resolving payer specific and clearinghouse claim errors and rejections.
 </li>
 <li>
 Correcting and submitting claims to insurance companies.
 </li>
 <li>
 Working aged account receivables.
 </li>
 <li>
 Analyzing insurance remittances for posting payments and denials.
 </li>
 <li>
 Submitting required documentation for reimbursement.
 </li>
 </ul>
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 3+ year of medical billing and coding
 </li>
 <li>
 Ability to verify patient benefits, analyze EOBs, determine appropriate codes for procedures performed, and post payments.
 </li>
 <li>
 Knowledge of CPT, HCPCS, and ICD-10 coding.
 </li>
 <li>
 Knowledge of Medicare, Medicaid, and other commercial health plans.
 </li>
 <li>
 Knowledge of EHR systems, spreadsheets, and word documents.
 </li>
 <li>
 Ability to work independently and manage multiple priorities.
 </li>
 <li>
 Ability to prioritize, organize, and exercise independent judgement and maintain confidentiality.
 </li>
 <li>
 Excellent analytical, verbal, and written communication skills.
 </li>
 </ul>
 
 
 
 
 **Salary compensation is based on experience**
 
 
 
 $24.00 - $28.00 per hour
 
 
</div>

Medical Billing Specialist

Search 10000+ Medical insurance specialist jobs near you this May. New roles added regularly across leading industries. Apply today.

10000 medical insurance specialist jobs Near Me

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

Billing Specialist

Billing Representative

Billing Specialist

Medical Billing and Credentialing Specialist

Insurance Collection Specialist

Medical Billing Specialist