Top 15542 Insurance Verifications Jobs

Insurance Specialist
City of Hope —Remote
- $27.88 - $43.22 an hour
- Full-time
- Mid-level
- High school diploma or GED
- 1 year
7d
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- $21 - $24 an hour
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GetixHealth —Tacoma, WA
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Data Entry Specialist (Dental Insurance Verification)
Dentalogic Inc —Denton, TX
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South Texas Radiology Imaging Centers —San Antonio, TX
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Patient Scheduler (Remote)
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Patient Access Representative
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Insurance Verification & Authorization Specialist – Remote
FYZICAL LLC —Las Vegas, NV
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Insurance Authorization Specialist II
SYSTEM West Virginia University Health System —Remote
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Insurance Verification Specialist
Charlie Health —Nashville, TN
- Full-time
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- 3 years
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Insurance Verification Representative - Remote (Tri-County Area)
University of Miami —Medley, FL
- Full-time
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- Bilingual
- Computer literacy
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REMOTE - Call Center Representative
Ivy Hall —Remote
- $18 - $20 an hour
- Weekends as needed
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8d
Insurance Verification Specialist I #Full Time #Remote
61st Street Service Corp —New York State
- $23.56 - $28.85 an hour
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- Under 1 year
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13d
Insurance Specialist
Akumin —Austin, TX
- Full-time
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Insurance Verification Specialist - 3147/Remote - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Remote
- HIPAA
- High school diploma or GED
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Insurance Specialist

City of Hope -
Remote

Apply Now

Job Details

Full-time
$27.88 - $43.22 an hour
7 days ago

Qualifications

Customer communication
Employee relationship building
High school diploma or GED

Full Job Description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

This role is essential in the success of supporting clinical trials, the primary task is to verify insurance policy benefit information and obtain authorizations/pre-certifications for services not covered by the clinical trial study. The Research Insurance Specialist will verify with the clinical trial patient’s insurance provider if the incumbent has coverage to participate in the proposed trial, if approved then using a clinical trial study coverage analysis, the research insurance specials will determine for each upcoming appointment whether or not the upcoming service will be covered by the study sponsor or whether the service needs prior authorization to be covered by the patient’s insurance. The Research Insurance Specialist is responsible for obtaining timely authorizations/pre-certifications when needed for all services not covered under the study.

As a successful candidate, you will:

Insurance Benefits Confirmation

Review billing grid/budget and compile list of all standard of care procedures associated to research
Verifies hospital and professional insurance policy benefits for clinical trial patients. The verification process includes: Telephone contact, Mail/Facsimile, On-line inquiry
Enters information concerning the policy benefits into the system and updates insurance information in the system.
Works in coordination with the research nurses, case managers, financial counselors, to obtain treatment authorizations and pre-certifications through the insurance company and/or the primary care physician.
Works with referral, financial support services, admitting, registration and clinics personnel to develop sound financial arrangements.
Identifies opportunities for improvement in customer service or insurance company interactions

Ongoing Authorization

Review billing grid/budget to determine if upcoming services require authorization and update in medical record.
Request authorization extension or new authorizations for continuity of care for research as needed or when coverage changes and inputs updates into the system.
Receives and reads City of Hope managed care contracts summaries to obtain an understanding of the contract provisions and interprets for insurance coverage. Acts as resource regarding managed care contract changes and updates.
Investigates and/or ensures that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding accounts.
Refers issues to supervisors or other staff for review of denials.
Assist case managers, UR nurses, etc., in appealing denials.
Participates in meetings with insurance carrier representatives.

Customer Service

Ensure a high level of customer service by resource to patients and team members. Serve as a liaison between patients and support staff. Develop effective relationships with colleague, physicians, providers, leaders and other employees across the organization. Demonstrates genuine interest in helping our patients, providers and other employees by using excellent communication skills, being polite, friendly, patient and calm under pressure.
Managing multiple, changing priorities in an effective and organized manger, under stressful demand while maintaining exceptional service. Maintain composure when dealing with difficult situations and responding professionally. Independently recognize a high priority situation, taking appropriate and immediate action. Effectively communicates with service delivery and other departments to resolve issues that impact patient care and escalating issues that cannot be resolved in accordance with departmental guidelines.

Quality Assurance

Maintains appropriate level of productivity and accuracy for work performed based on department standards. Maintains thorough knowledge of policies, procedures, and standard work within the department in order to successfully performance duties on a day-to-day basis.

Your qualifications should include:

High School Diploma.
2 years of related experience and 1+ years of healthcare experience.
Preferably: Associates Degree. Experience in healthcare insurance authorization

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer. To learn more about our Comprehensive Benefits, please CLICK HERE.

Apply Now

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