Top 40 Claims Verifier Jobs

Insurance Verifier
Children's Healthcare of Atlanta —Brookhaven, GA
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Quick Apply
7d
Insurance Verifier
Proco LLC —Marietta, GA
- Extended hours
- Microsoft Outlook
- Medical office experience
- Mid-level
Quick Apply
Insurance Verifier
Smile Doctors —Katy, TX
- Full-time
- Computer literacy
- Basic math
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
6d
IMH Insurance Verifier, Full Time - Days
UChicago Medicine —Harvey, IL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Insurance Verifier
CLD-BROOKLYN PARK MN, LLC —Brooklyn Park, MN
- From $16 an hour
- Full-time
- Dental office
- No experience needed
- Entry level
- Paid training
- Paid holidays
Quick Apply
Insurance Verifier
Kindred Spirit Behavioral Health —Columbus, OH
- $16.90 - $19.00 an hour
- Full-time
- Hybrid work
- Medical office experience
- HIPAA
- Organizational skills
Quick Apply
Insurance Verifier / Entry Level Biller
Clear Lakes Dental —Burnsville, MN
- $17 an hour
- Full-time
- Spanish
- Dental office
- Computer literacy
- Paid training
Quick Apply
Insurance Verifier
Clear Lakes Dental - Eden Prairie —Eden Prairie, MN
- $17 an hour
- Full-time
- Spanish
- Dental office
- Computer literacy
- Paid training
Quick Apply
Insurance Verifier
Clear Lakes Dental - Richfield —Richfield, MN
- $17 an hour
- Full-time
- Spanish
- Dental office
- Computer literacy
- Paid training
Quick Apply
Insurance Verifier
Ohio's Center for Of& I Surgery —Cleveland, OH
- Full-time
- Dental office
- Medical office experience
- HIPAA
- Wellness program
- Disability insurance
Quick Apply
Insurance Verifier
Surgery Ventures —Austin, TX
- Full-time
- Surgery
- 1 year
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Behavioral Health Patient Insurance Verifier (Oconomowoc, WI Only)
Rogers Memorial Hospital, Inc. —Oconomowoc, WI
- Full-time
- Hybrid work
- Hospital
- Administrative experience
- High school diploma or GED
- Wellness program
- Disability insurance
Quick Apply
Insurance Verifier
Clear Lakes Dental - Rochester —Rochester, MN
- $16 an hour
- Full-time
- Spanish
- Dental office
- Computer literacy
- Paid training
Quick Apply
Insurance Verifier/Entry Level Biller
Clear Lakes Dental - Eden Prairie —Eden Prairie, MN
- $17 an hour
- Full-time
- Spanish
- Dental office
- Computer literacy
- Paid training
Quick Apply
Insurance Verifier
HCA Healthcare —Anchorage, AK
- Full-time
- 1 year
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
11d
Eligibility Worker
HEALTH ADVOCATES —Chatsworth, CA
- $21.75 - $28.00 an hour
- Full-time
- Computer literacy
- HIPAA
- Office
- Paid training
- Health insurance
FT Insurance Verifier
Gastro One - 1310 (10451) —Germantown, TN
- Full-time
- Office
- High school diploma or GED
- Organizational skills
- Health savings account
- AD&D insurance
4d
Insurance Verifier - FT - Days - Oncology Nursing
DHR Health —Edinburg, TX
- Full-time
- Basic math
- HIPAA
- English
Insurance Verification Specialist
St. Charles Health System —Bend, OR
- $22.30 - $30.11 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Hospital
- Health insurance
- Dental insurance
7d
Insurance Verifier
New Mexico Orthopaedic SC (11504) —Albuquerque, NM
- Full-time
- Surgery
- Computer literacy
- Mid-level
- Health savings account
- AD&D insurance
5d

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Insurance Verifier

Children's Healthcare of Atlanta -
Brookhaven, GA

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Job Details

Full-time
7 days ago

Qualifications

Medical scheduling
High school diploma or GED
Patient registration

Full Job Description

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).

Work Shift

Day

Work Day(s)

Monday-Friday

Shift Start Time

8:00 PM

Shift End Time

4:30 AM

Worker Sub-Type

Regular

Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.

Job Description

Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits. Proactively identifies resources available for families if health plan does not include coverage for services. Coordinates counseling services with Financial Counseling and ensures the standards of Surprise Billing is communicated. Collaborates with Patient Financial Services (PFS) and Managed Care department regarding denied claims. May initiate and perform revenue cycle activities required for pre-registration. Works collaboratively with team members to provide quality service that ensures delivery of safe patient care and services.

Experience

One year of experience in a healthcare patient access role (registration, scheduling)

Preferred Qualifications

Bachelor's degree
Experience in a pediatric hospital

Education

High school diploma or equivalent

Certification Summary

No professional certifications required

Knowledge, Skills, and Abilities

Working knowledge of basic medical terminology
Demonstrated ability to multitask and problem-solve
Ability to work independently in a changing environment and handle stressful situations
Must be able to speak and write in a clear and concise manner to convey messages
Proficient in Microsoft Word/Excel/Outlook
Knowledge of Availity, MMIS and insurance payer website.
May require travel within Metro Atlanta area as needed

Job Responsibilities

Interviews patients and/or family members to secure insurance coverage, eligibility, and qualification for various financial programs.
Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner.
Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre- certification process.
Confirms referring physician and/or servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area.
Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations.
Acts as liaison between clinical staff, patients, referring physician’s office, and insurance by informing patients and families of any possible changes, updates, responses or follow-up. Discussion points may include the following: authorization delays, authorization denials, pending status, answering questions regarding status changes, offering assistance, providing follow up steps for financial support and relaying/documenting messages pertaining to authorization of procedure/service.
Monitors patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems.
Pre-screens doctor’s orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment.
Collaborates with Patient Financial Services (PFS) department to provide all related information regarding denied claims.
Monitors insurance authorization issues to identify trends and participates in process improvement initiatives.
Responds to all inquiries related to authorization/pre-certification issues.
Develops and maintains knowledge in medical terminology, billing and insurance guidelines to ensure Children’s remains compliant with all regulatory expectations.

Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.

Primary Location Address

1575 Northeast Expy NE

Job Family

Patient Access

Quick Apply

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