Remote Insurance Verification Specialist

Job Description

REQUIREMENTS

• 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.

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.

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

#CrossChannelJobs #JobSearch
#CareerOpportunities #HiringNow
#Employment #JobOpenings
#JobSeekers
#FacebookLinkedIn