Insurance Verification Specialist
Posted 2025-03-14Job Summary
The Insurance Verification Specialist plays a critical role in ensuring that patient insurance information is accurate and up-to-date in a fast growing private medical practice. We are an Integrative medical practice located in the Piedmont of NC (Winston-Salem). This position involves verifying patient's insurance coverage, answering patient inquires about insurance policies, keeping up to date on in-network insurance policies and keeping accurate communication notes.
Responsibilities
? Obtaining and verifying patient insurance information to confirm active coverage, including plan details like deductibles, copayments, and benefit limits.
? Maintain up-to-date knowledge of various insurance policies.
? Document all verification activities accurately in the office management system.
? Maintaining accurate patient demographics and insurance details within the electronic health record system
? Navigating insurance company portals, utilizing online tools, and if necessary, contacting insurance companies directly by phone
? Assist in the training of new staff on insurance verification processes and best practices.
? Protecting sensitive patient information by following privacy and security guidelines
? Responsible for answering incoming calls or messages from providers, patients or other staff in relation to insurance coverage.
? Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
? Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
? Other duties as assigned by the Billing Manager
Qualifications
? Proficient knowledge of insurance verification processes.
? Familiarity with HIPAA regulations and compliance standards related to patient information.
? Experience working in a healthcare setting preferred.
? Strong attention to detail with excellent organizational skills.
? Ability to work independently as well as part of a team in a fast-paced environment.
? Effective communication skills for interacting with patients and healthcare professionals.
? Must be computer literate; have multi-tasking skills, excellent organizational skills, verbal and written communication skills and a team player.
Education and Experience
? High School Diploma or GED equivalent; and at least a two year degree or certification preferred
? Experienced in customer service preferred
? Experience in a healthcare setting, such as a clinic or hospital front office, is beneficial
This position requires a dedicated individual who is committed to providing exceptional service while ensuring compliance with industry standards. You will be part of the Billing Department team and may, at times, be called upon for other tasks as needed. This is a remote position, however in-office Practice staff meeting attendance is required every other month. If you are passionate about healthcare administration and possess the necessary skills, we encourage you to apply for this vital role.
Job Type: Full-time
Pay: $17.00 - $19.00 per hour
Expected hours: 40 per week
Benefits:
? Employee discount
? Paid time off
? Retirement plan
Work Location: Remote
For more such jobs please click here!