Medical Insurance Verifier

About the position

The Medical Insurance Verifier plays a crucial role in ensuring that patients receive high-quality and efficient care by verifying insurance benefits and collecting necessary patient information prior to scheduled surgeries. This full-time position involves working under the supervision of the CBO Director or Business Office Manager, focusing on payment collection and reimbursement processes.

Responsibilities
• Obtain insurance pre-certification and verification, and interview patients prior to surgery.
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• Verify patient eligibility, authorizations, benefits, and claim information with insurance companies and third-party payers.
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• Identify patient accounts based on PPO, HMO, or other Managed Care Organizations.
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• Contact patients to provide updates on benefit verification information and financial responsibility.
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• Update the patient communication module, AdvantX, with appropriate authorization and benefit information.
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• Create financial arrangements with management when a patient is unable to complete payment.

Requirements
• High School Diploma or GED.
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• One year of college or courses in secretarial skills preferred.
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• One or more years of working experience in a healthcare environment performing clerical duties, business office functions, or billing duties in a hospital or physician practice setting required.

Nice-to-haves

Benefits
• 401(k) matching
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• Adoption assistance
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• Dental insurance
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• Disability insurance
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• Employee stock purchase plan
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• Comprehensive medical coverage
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• Flexible spending accounts
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• Life and disability coverage
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• Supplemental health protection plans
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• Free counseling services
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• Education assistance
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• Paid time off and family leave

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