Posted 1 month ago

Shift: EST and CT

Timing: 6PM – 2AM

We are seeking a detail-oriented and highly organized Medical Billing and Insurance Verification Specialist to join our team. As a key player in our healthcare organization, you will be responsible for verifying insurance information to ensure accurate billing and claims processing. If you have a strong background in insurance verification, attention to detail, and a commitment to ensuring a seamless experience for both patients and providers, we want to hear from you.

Key Responsibilities:

  • Review Scheduled Patients: Check the list of patients scheduled for the next day.
  • Prioritize Verification: Prioritize verification based on external factors that may impact the verification time, considering insurer processing times and appointment dates.
  • Complete PPO/HMO Forms: Fill out the PPO/HMO forms with information received from the clinic, patient/client, and the verification conducted with the insurance provider.
  • Database Entry: Store information in the designated database in a clear and legible manner.
  • Utilize Identification Methods: Use company-designated identification methods to confirm the patient’s eligibility for medical center services.
  • Meet Verification Metrics: Adhere to verification compliance metrics, meeting both daily
  • Communication: Interact with patients to obtain additional insurance details or clarify information.
  • Problem Resolution: Investigate and resolve insurance-related issues, discrepancies, or challenges.
  • Customer Service: Provide excellent customer service to both internal and external stakeholders.

Qualifications:

  • Educational qualification Bachelor degree.
  • Proven experience in insurance verification within a healthcare setting.
  • Familiarity with medical terminology and coding.
  • Strong communication and interpersonal skills.
  • Detail-oriented with excellent organizational abilities.
  • Proficiency in using insurance verification software and electronic health record systems.

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