2521-Health Insurance Verification Specialist

Job Description

Job Description

Health Insurance Verification Specialist

Part-time/Non-exempt

Location: Cherry Hill, NJ

Compensation Range: $21.00-$24.00/hour

Reports to: Vice President of Revenue Operations

Position Summary:

The Health Insurance Verification Specialist supports the revenue cycle by completing accurate insurance benefit verification, financial clearance, and authorization workflows. This role helps ensure that client coverage, patient responsibility, authorization status, and reimbursement-related documentation are confirmed and maintained in a timely and organized manner.

Job Responsibilities:

• Verify client insurance benefits, coverage levels, eligibility, and patient out-of-pocket responsibilities.
• Obtain initial authorizations for services and track authorizations for ongoing care.
• Complete ongoing monthly benefit and eligibility checks for current clients.
• Confirm First Children Services in-network or out-of-network status with each client's insurance plan.
• Submit appeals to insurance plans when necessary.
• Create and maintain clear documentation for authorization approvals, payer communications, and other reimbursement-related activity.
• Communicate effectively with internal departments, clients, and external contacts.
• Assist with answering phones and receiving or sending faxes as needed.
• Attend meetings as required and participate in workflow improvement efforts.
• Maintain cooperative, professional relationships with colleagues and external partners.
• Protect confidential and sensitive information in accordance with company policies and procedures.
• Perform other related duties as assigned.

Team:

This role will be part of the revenue cycle team, reporting to the VP of Revenue Operations.

Knowledge, Skills, & Abilities:

• Strong organizational skills, attention to detail, and follow-through.
• Ability to multitask, manage competing priorities, and meet time-sensitive deadlines.
• Excellent customer service and communication skills.
• Professional judgment and the ability to resolve issues or conflict appropriately.
• General reporting skills and the ability to maintain accurate records.
• High regard for accuracy, confidentiality, and the protection of sensitive information.

Basic Qualifications:

• High school diploma or equivalent required.
• 1-3 years of experience with insurance verification in a medical or healthcare setting.
• 1-3 years of experience obtaining authorizations and predeterminations from various payors in a medical or healthcare setting.
• Experience using an electronic medical record (EMR) system.
• Ability to read, write, speak, and understand English.
• Advanced proficiency with Microsoft Office, including Word, Excel, Access, and PowerPoint.

Benefits:

Our benefit package includes medical, dental, and vision plans, vacation/sick pay, life insurance, short & long-term disability, access to EAP and discount plans, 401(k) retirement plan, and employee referral bonus plan and is available to employees who meet eligibility requirements.

Who we are:

First Children Services is comprised of a dedicated team of professionals committed to providing the very best services day in and day out. We integrate a variety of effective techniques along with family involvement to achieve optimum results. At First Children Services, children and their families with the most extraordinary challenges are met with compassion, dedication and determination.

EEO: First Children Services is an equal opportunity employer and provider. Our agency prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

First Children Services is committed to being an Equal Employment Opportunity (EEO) Employer and offers opportunities to all job seekers including individuals with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, email us at View email address on ziprecruiter.com. In your email, please include a description of the specific accommodation you are requesting as well as the job title and requisition ID number of the position for which you are applying.