Remote Insurance Verification Specialist

Job Summary and Responsibilities As our Insurance Verification Rep, you will be a cornerstone of our revenue cycle management team, responsible for ensuring that patients' insurance benefits are thoroughly verified and necessary authorizations are obtained. Your work directly contributes to a smooth financial clearance process for patients, helping prevent billing issues and ensuring timely reimbursement for our services. This role emphasizes efficiency and accuracy in managing critical patient financial data. Every day you will verify insurance benefits, obtain crucial behavioral authorizations, and complete pre-registration and registration tasks. You'll answer patient and front desk staff inquiries via phone and email, leveraging work queues, online portals, faxes, and written correspondence to efficiently manage a high volume of verification and authorization requests. Your keen understanding of medical terminology, payer guidelines, CPT codes, and ICD-10 will ensure all obtained authorizations are appropriate and precisely documented. To be successful in this healthcare financial clearance role, you will need strong knowledge of federal and state laws, including HIPAA, alongside payer guidelines for authorization and benefit verification. Excellent verbal and written communication skills are essential to effectively interact with providers, clinical staff, and payers. We are looking for a self-motivated, detail-oriented individual with strong computer proficiency and a proven ability to manage multiple tasks and priorities in a fast-paced environment, contributing to our mission of compassionate, high-quality care through efficient financial operations. Job Requirements Required Local candidates will need to complete 6 months onsite training before going remote Where You'll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. #J-18808-Ljbffr CommonSpirit Health