Remote Life Insurance Professional

INSURANCE VERIFICATION REPRESENTATIVE

Job Summary We are seeking a proactive and detail-oriented Insurance Verification Representative to join our dynamic healthcare billing team. In this role, you will be responsible for verifying coverage for office appointments to ensure patient’s coverage is active, in network, and entered correctly in our billing system. Your expertise will help optimize revenue cycle processes, reduce outstanding balances, and improve overall cash flow. The ideal candidate possesses strong communication skills, is accountable and thrives in a fast-paced environment dedicated to accuracy and efficiency.

We are seeking a proactive and detail-oriented Insurance Verification Representative to join our dynamic healthcare billing team. In this role, you will be responsible for verifying coverage for office appointments to ensure patient’s coverage is active, in network, and entered correctly in our billing system. Your expertise will help optimize revenue cycle processes, reduce outstanding balances, and improve overall cash flow. The ideal candidate possesses strong communication skills, is accountable and thrives in a fast-paced environment dedicated to accuracy and efficiency.

Responsibilities

Use software and payer portals to confirm coverage is active and insurance details on file are correct

Contact patients with inactive or out of network insurance

Contact insurance companies via phone and portal chat to confirm coverage and benefit details

Manage assigned portion of the schedule and all appointments therein

Notice and communicate about insurance trends

Learn the network status with different insurance plans and be a resource to other departments regarding network status

Evaluate if the insurance plan requires a referral and confirm referrals are on file.

Stay updated on industry regulations, payer policies, and coding guidelines to ensure compliance and maximize reimbursement opportunities.

Collaborate with billing staff, front desk staff, scheduling department and members of the clinical team

Other responsibilities as assigned

Skills

Strong knowledge of medical billing processes and collection strategies within a healthcare setting.

Proficiency in payer portals

Experience working with EMR/EHR systems for documentation management

Strong documentation skills

Ability to analyze insurance plan types and plan requirements

Effective communication skills for liaising with payers, providers, and patients professionally.

Provide education to team members on insurance trends, updates, and network statuses.

Detail-oriented with strong organizational skills

Job Type: Full-time

Benefits

401(k)

Dental insurance

Flexible spending account

Health insurance

Health savings account

Life insurance

Paid time off

Vision insurance

Application Question(s)

Desired Salary

Experience

Medical billing: 2 years (Preferred)

Work Location: Hybrid remote in Virginia Beach, VA 23462

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