Insurance Verification Representative

Health Care Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including:
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. Health Care Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• Contacts Medicare, Medicaid and private insurance companies, by phone or internet tools, to obtain benefit and eligibility information
• Efficiently and accurately verifies, reviews, documents and completes insurance verifications
• Evaluates insurance coverage in order to determine the policy’s compatibility with our program
• Determines if selected products are appropriate based on patient need and insurance benefit plan
• Communicates with operations, sales team, referral or patient, regarding insurance benefits and coordination with products and programs
• Achieves stated revenue goals, production, and performance objectives
• Escalates recurring problem accounts, physician groups, or other trends to the management appropriately and in a timely manner
• Maintains advanced knowledge of specialty and ancillary products to answer patient questions and assist with accurately processing complex orders, including out-of-stock items, exchanges and returns
• Maintains a high degree of confidentiality at all times due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
• Abides by all regulations, policies, procedures and standards

• High School diploma and one to two years of medical insurance verification or equivalent combination of education and experience
• One to two years of customer service experience preferred
• Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
• Ability to adapt to a constantly changing environment
• Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
• Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
• Ability to read and interpret documents such as Medicare/Medicaid regulations and insurance documents
• Position may require evening and weekend availability
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential
• Demonstrated ability to accurately perform data entry and pay close attention to detail

• Competitive salary $15.00 - $16.00 per hr
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO