Medical Insurance Verification Specialist
Posted 2025-03-15About the position
The Insurance Verification Specialist plays a critical role in ensuring accurate verification and processing of patient insurance information within a healthcare setting. This position is essential for facilitating smooth operations and ensuring compliance with insurance requirements, while also maintaining patient confidentiality according to HIPAA regulations.
Responsibilities
? Verify patient insurance coverage and eligibility prior to appointments or procedures.
,
? Communicate with insurance companies to obtain necessary authorizations and resolve any discrepancies.
,
? Review and interpret ICD-9 codes, medical records, and managed care plans to ensure compliance with insurance requirements.
,
? Maintain accurate records of all verification processes and updates in the office database.
,
? Collaborate with healthcare providers to ensure that all necessary documentation is submitted for claims processing.
,
? Adhere to HIPAA regulations to protect patient confidentiality during the verification process.
Requirements
? Proficient understanding of medical terminology and coding practices, including ICD-9.
,
? Experience with insurance verification processes, particularly in a medical office setting.
,
? Strong attention to detail with excellent organizational skills.
,
? Ability to communicate effectively with patients, healthcare providers, and insurance representatives.
,
? Familiarity with managed care systems.
,
? Knowledge of HIPAA regulations and compliance standards.
,
? Proficient in using office software and electronic health record (EHR) systems.
Nice-to-haves
? Ability to relocate to Kissimmee, FL before starting work.
Benefits
For more such jobs please click here!