We are seeking an experienced Medical Insurance Verification Specialist to join our growing neurology practice. This is not an entry-level position. The ideal candidate must have a strong understanding of medical insurance plans, eligibility verification, authorizations, and managed care. Candidates without direct medical insurance verification experience will not be considered.
Required Qualifications:
- Minimum of 2 years of medical insurance verification experience in a physician practice or specialty clinic.
- HMO and PPO insurance plans
- Medicare and Medicare Advantage
- Medi-Cal
- Commercial insurance plans
- IPA/Medical Groups
- Referral and authorization requirements
- Experience working with major California health plans and medical groups.
- Strong understanding of insurance eligibility and benefit verification.
- Excellent attention to detail and problem-solving skills.
- Ability to prioritize work in a fast-paced medical environment.
- Strong computer skills and experience using an EMR.
- Experience navigating Insurance Portals
Responsibilities:
- Verify patient insurance eligibility and benefits prior to appointments.
- Review referrals and authorization requirements.
- Understand and verify HMO, PPO, Medicare, Medicare Advantage, Medi-Cal, and commercial insurance plans.
- Identify contracted and non-contracted health plans and medical groups.
- Verify PCP assignments and medical group affiliations.
- Obtain and document insurance information accurately in the electronic medical record (EMR).
- Communicate with insurance companies, medical groups, referring offices, and patients regarding coverage and authorization requirements.
- Resolve insurance discrepancies prior to patient appointments.
- Work closely with scheduling, referrals, and clinical staff to ensure timely patient care.
- Maintain strict confidentiality
*Self-motivated with a strong work-ethic, solid interpersonal skills and excellent organization and prioritization skills.
*Excellent phone etiquette and customer service skills
*Work efficiently under deadlines *Dependable / Punctuality is a must.
Job Type: Full-time
- After 90 days of employment- Birthday paid off
Job Type: Full-time
Pay: $23.00 - $25.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Insurance verification: 1 year (Required)
- EMR systems: 1 year (Required)
Work Location: In person
