Top 15746 Insurance Verification Representative Jobs

Insurance Verification Representative Elikn, NC Monday - Friday 8a-5p EST In - Office
Prism Medical Products, LLC —Elkin, NC
- Full-time
- Mid-level
- Office
- Mentoring
Quick Apply
5d
Insurance Verification Representative - Remote (Tri-County Area)
University of Miami —Medley, FL
- Full-time
- Remote
- Bilingual
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Scheduling and Prior Authorization Representative- Remote
McKenzie Health —Watford City, ND
- Weekends as needed
- Remote
- Background check
- Word processing
- Computer literacy
- 403(b) matching
- Employee assistance program
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Patient Resource Representative I ( Remote)
Valley Medical Center —Renton, WA
- $22.61 - $37.79 an hour
- Full-time
- Remote
- Computer literacy
- Medical office experience
- Mid-level
Referral Coordinator/ Insurance Verification Representative
MedVein Management, LLC —San Antonio, TX
- Monday to Friday
- Computer literacy
- Basic math
- HIPAA
Quick Apply
Insurance Verification Representative
Signature Healthcare —West Bridgewater, MA
- $20 - $24 an hour
- Full-time
- Office
- High school diploma or GED
- Communication skills
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Client Service Representative
Firstsource Healthcare —Remote
- $15 an hour
- 8 hour shift
- Remote
- Computer literacy
- Writing skills
- Typing
- Dental insurance
- Work from home
Associate Financial Advisor - Wisconsin Heartland Associates
Thrivent —Madison, WI
- $36,000 a year
- Full-time
- Background check
- Mid-level
- Office
- 401(k)
Quick Apply
Pharmacist-in-Charge
VytlOne —Anniston, AL
- Online Application
- Mid-level
- Outpatient experience
- Data entry
- Health savings account
- AD&D insurance
Quick Apply
Prior Authorization Representative - IN PERSON/Part TIme
Ortho Montana —Billings, MT
- From $16 an hour
- Part-time
- Background check
- Medical office experience
- HIPAA
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6d
Primary Care Physician - Sanger Place
Telecare Corporation —Sanger, CA
- $140 - $227 an hour
- Part-time
- 18 years or older
- CPR Certification
- Medicine
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Sonographer - General and Vascular
TridentCare —Omaha, NE
- $40 - $50 an hour
- Full-time
- Background check
- Current TB test
- Nursing home
- Paid holidays
- Disability insurance
CDL-A Delivery Truck Driver (Full Time)
Gold Star Foods —Huntingdon, PA
- $26.50 - $29.00 an hour
- Overtime
- Customer service
- CDL A
- Mid-level
- Paid holidays
- Disability insurance
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Credit Support Specialist
Premier Farm Credit, ACA —Yuma, CO
- $40,000 - $45,000 a year
- Email
- Background check
- Customer service
- Office
- Health savings account
- Paid holidays
Quick Apply
4d
CLASS A COMMERCIAL DELIVERY DRIVER
GENERAL PRODUCE DISTRIBUTION COMPANY, LLC —Sacramento, CA
- $23.50 - $25.50 an hour
- Overtime
- CDL B
- Background check
- Customer service
- Paid holidays
- Health insurance
CDL A Truck Driver - $8,000 SIGNING BONUS
Ruston Paving Co, Inc. —Syracuse, NY
- $26.00 - $36.50 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health savings account
- Paid holidays
Financial Patient Services Representative
Bay Clinic, LLP —Coos Bay, OR
- $20 - $25 an hour
- Full-time
- Bilingual
- HIPAA
- Mid-level
- AD&D insurance
- Health insurance
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Pharmacist, Full-Time
Family Discount Pharmacy —Ponca City, OK
- $60 - $80 an hour
- 8 hour shift
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
14d
Quality Control Technician
Laticrete International —Bethany, CT
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- Engineering
- AD&D insurance
- Paid holidays
Talent Acquisition Representative-Human Resources
Viejas Casino & Resort —Alpine, CA
- From $20 an hour
- Full-time
- Background check
- Spanish
- Pass drug screening
- Wellness program
- Health insurance
Quick Apply

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Insurance Verification Representative Elikn, NC Monday - Friday 8a-5p EST In - Office

Prism Medical Products, LLC -
Elkin, NC

Quick Apply

Job Details

Full-time
5 days ago

Qualifications

Employee relationship building

Full Job Description

Position Description:

Support verification process by assisting with team collaboration and contributing to efficient insurance verification workflows. Work to secure in- and out-of-network referrals through ongoing communication with health plans, providers, and patients. Help ensure comprehensive support by exploring coverage options, obtaining required documentation, and maintaining accurate records, with a primary focus on Continuous Glucose Monitors (CGMs).

Essential Responsibilities and Duties:

1. Continuously expands expertise in Medicare, Medicaid, and commercial payers, with a focus on Continuous Glucose Monitors (CGM) supplies, to maximize opportunities for servicing both in- and out-of-network patient referrals, including securing gap exceptions or standard prior authorizations and PCP referrals, LOA, TPAs, and cash pay solutions.

2. Support the tracking and maintenance of team KPIs, assisting with reporting and ongoing review of benchmarks related to sales, verification workflows, and health plan benefit administration. Help identify performance trends and contribute to problem-solving efforts, with a primary focus on CGM and Maternity lines of business.

3. Assist in managing workflow processes and project timelines by coordinating tasks, supporting resource needs, and helping ensure deliverables are completed on time. Collaborate with cross-functional teams to support organizational goals and objectives.

4. Actively contributes to the development and maintenance of private insurance contact cards, ensuring high utilization across Billing, Client Operations, Quality Assurance, and Payer Relations teams.

5. Participates in the Certified Training Assistant (CTA) program as a CTA, and successfully completes available leadership development programs to actively mentor PRISM team members company-wide about private insurance and support Training & Development.

6. Support departmental goals by assisting with referral, verification, and authorization and follow-up processes. Monitor and process orders accurately, coordinate with referral and insurance partners as needed, and help maintain positive relationships across the organization.

7. Ensure accurate and timely attention to workflow processes within the CGM division, including tracking and completing all tasks across different workflows. Assist with administrative responsibilities and maintaining required patient documentation. Support supervisors as needed to help ensure smooth daily operations and complete patient files.

8. Participates in in-services, education, and training to address and resolve knowledge gaps and issues regarding health plan protocols, procedures, processes, and overall effectiveness of referral sources.

10. Maintains an excellent attendance record and drives strong attendance among department team members through accountability measures and incentives.

11. Adheres to all company policies and procedures regarding employment, safety, and compliance, and reports any concerns of non-compliance to management immediately.

12. Performs other related duties as requested and assigned by Leadership.

Quick Apply

Refine Your Search

Insurance Verification Representative jobs

Insurance Verification Representative Elikn, NC Monday - Friday 8a-5p EST In - Office

Insurance Verification Representative - Remote (Tri-County Area)

Scheduling and Prior Authorization Representative- Remote

Patient Resource Representative I ( Remote)

Referral Coordinator/ Insurance Verification Representative

Insurance Verification Representative

Client Service Representative

Associate Financial Advisor - Wisconsin Heartland Associates

Pharmacist-in-Charge

Prior Authorization Representative - IN PERSON/Part TIme

Primary Care Physician - Sanger Place

Sonographer - General and Vascular

CDL-A Delivery Truck Driver (Full Time)

Credit Support Specialist

CLASS A COMMERCIAL DELIVERY DRIVER

CDL A Truck Driver - $8,000 SIGNING BONUS

Financial Patient Services Representative

Pharmacist, Full-Time

Quality Control Technician

Talent Acquisition Representative-Human Resources

I want to receive the latest job alert for Insurance Verification Representative

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