Benefit Verification Specialist

Medical Benefit Verification Specialist

The Crane Center is a world-renowned Transgender surgical practice, with locations in Greenbrae, California, Boulder, Colorado and Austin, Texas. We have eight highly specialized surgeons and a multidisciplinary clinical team which allows us to offer all aspects of gender-affirming surgery.

Our healthcare organization is seeking a diligent and detail-oriented Medical Benefit Verification professional to join our team. As a Medical Benefit Verification specialist, you will be responsible for verifying medical benefits for patients and ensuring accurate and timely processing of insurance claims. This role is essential in ensuring that our patients receive the necessary medical treatments without any inconvenience.

As a Medical Benefit Verification specialist, you will play a crucial role in verifying patients' insurance coverage and benefits. You will collaborate with insurance companies, healthcare providers, and patients to provide accurate information regarding insurance policies, co-pays, deductibles, and coverage limits. You will also be responsible for coordinating with healthcare providers to ensure that the necessary documentation is obtained.

The ideal candidate for this position is highly organized, has exceptional attention to detail, and possesses strong communication and problem-solving skills. You should have a thorough understanding of medical insurance policies and guidelines.

Job Responsibilities

• Verify patients' insurance coverage and benefits for medical treatments and services.
• Communicate with insurance companies, healthcare providers, and patients regarding insurance policies, co-pays, deductibles, and coverage limits.
• Obtain and coordinate the necessary documentation required for insurance claims.
• Update patient information and insurance details in the electronic medical records system.
• Provide exceptional customer service to patients by addressing insurance-related inquiries and concerns.
• Other duties as applicable

Required Experience, Education, Abilities and Skills

• High school diploma or equivalent.
• Proven experience in medical benefit verification or medical billing.
• Strong understanding of medical insurance terminology, policies, and procedures.
• Proficient in using electronic medical records systems and insurance verification software.
• Excellent attention to detail and strong organizational skills.
• Exceptional communication and interpersonal skills.
• Ability to work efficiently in a fast-paced environment and meet deadlines.
• Knowledge of medical coding systems (such as CPT, ICD-10) is preferred.

Benefits

• Competitive salary and compensation package
• Comprehensive health, dental, and vision insurance
• 401(k) retirement saving plan with company matching
• Opportunities for career growth and professional development
• Flexible work schedule and work-life balance
• Hybrid position
• Paid time off and vacation days.