Medical Insurance Verification Specialist

About 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.
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• Communicate with insurance companies to obtain necessary authorizations and resolve any discrepancies.
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• Review and interpret ICD-9 codes, medical records, and managed care plans to ensure compliance with insurance requirements.
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• Maintain accurate records of all verification processes and updates in the office database.
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• Collaborate with healthcare providers to ensure that all necessary documentation is submitted for claims processing.
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• Adhere to HIPAA regulations to protect patient confidentiality during the verification process.

Requirements
• Proficient understanding of medical terminology and coding practices, including ICD-9.
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• Experience with insurance verification processes, particularly in a medical office setting.
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• Strong attention to detail with excellent organizational skills.
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• Ability to communicate effectively with patients, healthcare providers, and insurance representatives.
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• Familiarity with managed care systems.
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• Knowledge of HIPAA regulations and compliance standards.
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• Proficient in using office software and electronic health record (EHR) systems.

Nice-to-haves
• Ability to relocate to Kissimmee, FL before starting work.

Benefits

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