Job Description

Job Summary:

We are seeking a detail-oriented and organized Insurance Verification Specialist to join our team. The ideal candidate will be responsible for verifying patient insurance coverage, ensuring accurate billing, and supporting the revenue cycle process. This role is essential for minimizing claim denials and optimizing reimbursement.

Key Responsibilities:

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  Verify insurance benefits and eligibility for patients through online portals, phone calls, or payer systems.
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  Accurately document coverage details including co-pays, deductibles, out-of-pocket limits, authorization requirements, and policy limitations.
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  Communicate with insurance companies to resolve issues related to coverage or authorizations.
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  Work closely with front desk staff, billing teams, and clinical personnel to ensure correct patient information and insurance details are captured.
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  Obtain prior authorizations or referrals when necessary.
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  Update patient records and verify demographic and insurance data in the system.
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  Identify and escalate any discrepancies or concerns that may impact billing or patient care.
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  Maintain up-to-date knowledge of insurance guidelines, payer policies, and regulatory requirements.

Qualifications:

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  High school diploma or GED required; associate's degree or certification in medical administration or billing preferred.
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  1+ years of experience in insurance verification, medical billing, or related healthcare administrative role.
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  Strong knowledge of insurance carriers, medical terminology, and HIPAA compliance.
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  Proficient in using electronic medical records (EMR) and insurance portals.
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  Excellent attention to detail and organizational skills.
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  Strong communication and problem-solving abilities.

Work Environment:

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  Office, remote, or clinical setting depending on assignment.
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  Standard business hours with potential for extended hours based on workload.
  

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan.

Job Tags

Local area,

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