Insurance Verification Specialist

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Job Title: Insurance Verification Specialist

Classification: Part Time/1099 Contractor

Work Structure: Fully Remote

Schedule/Shift: Monday-Friday; 10 hours/week (between hours of 9a-6p ET)

Team: Clinical Operations

Reporting to: Pulmonary Rehab Manager

Location: United States

Compensation: $19-$20 per hour

The Insurance Verification Specialist will review patient insurance information and verify in advance the treatments that their policies will cover. They then call insurance companies and send the proper documentation to verify authorizations for procedures which require them.

• Enter data and validate patient information.
• Research and correct invalid or incorrect patient demographic information such as invalid insurance policy number to ensure proper billing.
• Determine member benefit coverage.
• Monitor and verify insurance information for individual patient visits and procedures.
• Communicate with patients about co‑pays, benefits, coverage, and care authorization.
• Contact providers with authorization, denial, and appeals process information.
• Assist in educating and act as a resource to the scheduling department.
• Work and assist with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
• Respond professionally to all inquiries from patients, staff, and payors in a timely manner.
• Accurately document patient accounts of all actions taken.

• Strong work ethic and sound judgment
• Proven written and verbal communication skills
• Natural curiosity to pursue issues and increase expertise
• Demonstrated knowledge of insurances
• Two to four years related experience and/or training in insurance verification
• Two to four years of experience in medical billing
• Two to four years of experience in authorizations
• Knowledge of CPT and ICD
  10 codes.
• Excellent computer, multi‑tasking, and phone skills.
• The ability to work well under pressure (most of the paperwork is time‑sensitive).
• Must successfully pass a background check.

In accordance with HIPAA, this position must maintain the confidentiality of the patient in all circumstances as well as company confidentiality. Ensures the confidentiality of data collected and stored is maintained.

This description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

• Note:
  
  This is a 1099 contractor position