Insurance Verification Specialist

Job Description

JOB DETAILS

REQUIREMENTS

• Proven experience in medical office administration or insurance verification roles
• Strong knowledge of managed care, medical terminology, and medical coding (CPT, ICD-9, ICD-10)
• Familiarity with HIPAA compliance standards and confidentiality protocols
• Experience working with medical records and insurance verification systems
• Excellent communication skills for effective interaction with insurance providers and patients
• Office experience preferred, particularly in dental or healthcare settings
• Ability to handle sensitive information discreetly and professionally
• Strong organizational skills with attention to detail to ensure accuracy in all verification processes

RESPONSIBILITIES

• Verify patient insurance coverage and benefits prior to appointments or procedures
• Communicate with insurance companies to confirm coverage details, including CPT and ICD coding requirements
• Ensure compliance with HIPAA regulations when handling medical records and patient information
• Assist in the collection of accurate patient demographic and insurance data
• Collaborate with medical staff to resolve insurance-related issues promptly
• Maintain detailed records of verification activities and update patient accounts accordingly
• Support the office team with related administrative tasks as needed, including managing medical records and documentation
• Stay current with changes in managed care policies, ICD-9, ICD-10, and other coding updates

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