Job Summary
We are seeking a motivated and detail-oriented Remote Insurance Verification Specialist to join our dynamic healthcare team. In this vital role, you will be responsible for verifying patient insurance coverage, ensuring accuracy in insurance information, and facilitating smooth billing processes. Your expertise will help streamline patient intake procedures, reduce claim denials, and enhance overall operational efficiency. This position offers the opportunity to work remotely while contributing significantly to patient care and administrative excellence. The ideal candidate is proactive, organized, and possesses a strong understanding of health insurance policies and medical terminology.
Responsibilities
• Verify patient insurance coverage by contacting insurance providers and reviewing electronic health records (EHR) and medical records.
• Confirm eligibility, benefits, copayments, deductibles, and authorization requirements for various health plans, including managed care policies.
• Accurately document all verification activities within electronic health records (EHR) systems while maintaining strict adherence to clinical confidentiality policies and HIPAA regulations.
• Collaborate with clinical staff to ensure all necessary prior authorizations are obtained before procedures or treatments.
• Review medical coding (CPT, ICD-9, ICD-10) to support accurate billing and claims submission processes.
• Identify potential issues related to insurance coverage or policy limitations and communicate effectively with patients and providers to resolve discrepancies.
• Stay updated on changes in health insurance policies, managed care guidelines, and medical coding standards to ensure compliance and accuracy.
Skills
• Proven experience in medical office administration or healthcare insurance verification.
• Strong knowledge of HIPAA regulations and clinical confidentiality policies.
• Familiarity with CPT coding, ICD-9/ICD-10 coding systems, and medical terminology.
• Experience managing electronic health records (EHR) or electronic medical records (EMR).
• Excellent communication skills for interacting with insurance companies, patients, and healthcare providers.
• Ability to navigate health insurance policies, managed care plans, and dental office procedures as applicable.
• Detail-oriented with exceptional organizational skills to handle multiple verification tasks efficiently.
Join us as a Remote Insurance Verification Specialist and become an essential part of a dedicated healthcare team committed to delivering exceptional patient service through accuracy and professionalism!
Pay: $25.38 - $28.37 per hour
Benefits:
• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Retirement plan
• Tuition reimbursement
• Vision insurance
• Wellness program
Work Location: Remote