Insurance Verification Specialist

Job Description

Job Description

Insurance Verification Specialist

Location: Tarpon Springs, 34689 – This position is onsite

Pay: $19.00 to $22.00 per hour

Type: Contract, (2) month project

Schedule:

Job description:

• Verify patient insurance eligibility and benefits for scheduled clinic visits and outpatient procedures using payer portals and direct communication with insurance carriers.
• Review deductibles, copays, coinsurance, and coverage limitations to accurately determine patient financial responsibility and communicate expected out-of-pocket costs.
• Process insurance referrals and prior authorizations while ensuring all required documentation is obtained before scheduled services.
• Update and maintain accurate patient demographic and insurance information within the electronic health record (EHR) system to support accurate billing and reimbursement.
• Collaborate with patients, providers, insurance companies, and internal departments to resolve coverage issues, ensure authorization requirements are met, and deliver exceptional customer service.

Nice to have:

• Solid knowledge of coinsurance

Requirements:

• Must understand medical insurance including deductibles
• Must have experience with verifying Medicare, Medicaid, and major commercial health insurance and secondary payers
• Experience with referrals and prior authorization
• Medical terminology and ICD-10
• Must be MS Office proficient including Excel
• High school diploma or equivalent
• Background check required
• Nicotine free organization