Overview
Join our dynamic healthcare team as a Medical Insurance Verification Specialist, where your expertise will be vital in ensuring seamless insurance coverage processes for our patients. In this energetic role, you will be responsible for verifying insurance benefits, obtaining prior authorizations, and managing medical records with precision and care. Your proactive approach will help facilitate smooth patient experiences and uphold the highest standards of confidentiality and compliance. If you thrive in a fast-paced environment and are passionate about healthcare administration, this position offers an exciting opportunity to make a meaningful impact every day.
Responsibilities
- Spanish translator highly helpful with our growing patient population.
- Verify patient insurance coverage by reviewing insurance policies, health plans, and managed care requirements using electronic health records (EHR) systems and other tools.
- Obtain insurance prior authorization by communicating effectively with insurance companies, providers, and patients to gather necessary documentation and approvals.
- Review medical records, including clinical notes and billing information, ensuring accuracy and completeness in accordance with medical terminology, CPT coding, ICD-9, ICD-10, and ICD coding standards.
- Maintain strict adherence to HIPAA regulations and clinical confidentiality policies while handling sensitive patient information.
- Utilize Microsoft Office applications to document verification activities, update patient records, and generate reports for internal use.
- Collaborate with medical office staff to resolve insurance-related issues promptly, providing excellent customer service to patients and providers alike.
- Stay current on health insurance policy knowledge, managed care procedures, and industry best practices to ensure compliance and efficiency in all verification processes.
Qualifications
- Proven experience in medical office administration or healthcare support roles with a strong understanding of health insurance policies and procedures.
- Familiarity with electronic health records (EHR/EHR management) systems and medical billing software.
- Strong organizational skills with the ability to manage multiple tasks efficiently in a fast-paced environment.
- Excellent communication skills for interacting with insurance companies, healthcare providers, patients, and team members.
- Ability to maintain confidentiality in accordance with HIPAA regulations and clinical confidentiality policies.
- Proficiency in Microsoft Office Suite including Word, Excel, and Outlook is preferred.
- Prior experience with insurance prior authorization processes and managed care is highly desirable.
Join us as a Medical Insurance Verification Specialist where your dedication ensures our patients receive the care they deserve while supporting our mission of delivering exceptional healthcare services!
Pay: $19.00 - $21.00 per hour
Benefits:
- Employee discount
- Paid time off
Work Location: In person
