Insurance Billing Professional

Insurance Verification Specialist

By being the go-to expert who verifies insurance and clarifies liability questions. Your keen attention to detail and accuracy will help strengthen the patient-physician relationship, ensuring patients have the insurance information they need for expert care.

If this sounds like you, we invite you to apply for this Insurance Verification Specialist role.

Insurance Verification Specialist:

Provides professional, accurate and timely insurance verification, initiates and secures authorization, notification of in-scope hospital services based on requirements for medical and other liability plans.

Obtains plan benefit information and creates hospital cost estimates for expected patient liability in preparation of financial communication with patients.

Specializes in payor type such as Commercial, Workers Compensation, Medicare, Medicaid, or Other Liability.

Acts as a resource to patients, family members, physicians and other departments regarding medical and/or other liability policy benefits, authorization guidelines and plan limitations.

Two years of directly applicable healthcare business office experience (billing/credit/collection) or applicable insurance customer service experience required.

Demonstrated knowledge of insurance guidelines, including benefits and authorization protocols.

Hospital insurance verification experience preferred.

Demonstrated knowledge of Payor/Plan structures, Medical policies, Payor contracts and Payor laws.

• Knowledge of CPT and Diagnosis coding and medical terminology.
• Net Typing of 40 wpm and PC based computer skills.
• Knowledge of online eligibility systems and status review of claims.
• Works efficiently with minimal supervision, exercising independent judgment within stated guidelines.
• Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.