Medical Insurance Verification Specialist
About the position
The Insurance Verification Specialist plays a critical role in ensuring accurate verification and processing of patient insurance information within a healthcare setting. This position is essential for facilitating smooth operations and ensuring compliance with insurance requirements, while also maintaining patient confidentiality according to HIPAA regulations.
Responsibilities
Ā Verify patient insurance coverage and eligibility prior to appointments or procedures.
,
Ā Communicate with insurance companies to obtain necessary authorizations and resolve any discrepancies.
,
Ā Review and interpret ICD-9 codes, medical records, and managed care plans to ensure compliance with insurance requirements.
,
Ā Maintain accurate records of all verification processes and updates in the office database.
,
Ā Collaborate with healthcare providers to ensure that all necessary documentation is submitted for claims processing.
,
Ā Adhere to HIPAA regulations to protect patient confidentiality during the verification process.
Requirements
Ā Proficient understanding of medical terminology and coding practices, including ICD-9.
,
Ā Experience with insurance verification processes, particularly in a medical office setting.
,
Ā Strong attention to detail with excellent organizational skills.
,
Ā Ability to communicate effectively with patients, healthcare providers, and insurance representatives.
,
Ā Familiarity with managed care systems.
,
Ā Knowledge of HIPAA regulations and compliance standards.
,
Ā Proficient in using office software and electronic health record (EHR) systems.
Nice-to-haves
Ā Ability to relocate to Kissimmee, FL before starting work.
Benefits
Apply Now
The Insurance Verification Specialist plays a critical role in ensuring accurate verification and processing of patient insurance information within a healthcare setting. This position is essential for facilitating smooth operations and ensuring compliance with insurance requirements, while also maintaining patient confidentiality according to HIPAA regulations.
Responsibilities
Ā Verify patient insurance coverage and eligibility prior to appointments or procedures.
,
Ā Communicate with insurance companies to obtain necessary authorizations and resolve any discrepancies.
,
Ā Review and interpret ICD-9 codes, medical records, and managed care plans to ensure compliance with insurance requirements.
,
Ā Maintain accurate records of all verification processes and updates in the office database.
,
Ā Collaborate with healthcare providers to ensure that all necessary documentation is submitted for claims processing.
,
Ā Adhere to HIPAA regulations to protect patient confidentiality during the verification process.
Requirements
Ā Proficient understanding of medical terminology and coding practices, including ICD-9.
,
Ā Experience with insurance verification processes, particularly in a medical office setting.
,
Ā Strong attention to detail with excellent organizational skills.
,
Ā Ability to communicate effectively with patients, healthcare providers, and insurance representatives.
,
Ā Familiarity with managed care systems.
,
Ā Knowledge of HIPAA regulations and compliance standards.
,
Ā Proficient in using office software and electronic health record (EHR) systems.
Nice-to-haves
Ā Ability to relocate to Kissimmee, FL before starting work.
Benefits
Apply Now