Insurance Verification Specialist - Full-time / Part-time

Hiring an Insurance Verification Specialist for a growing healthcare company! This is a full-time, long-term opportunity available immediately.

Purpose:

The Insurance Verification Specialist is responsible for verifying patient eligibility and benefits. This position is responsible for collecting insurance information via multiple methods, runs test claims and completes administrative duties.

Responsibilities:

• Utilize initial referral form to determine if additional information will be needed in order to complete verification of benefits
• Contact referral source, patient, and/or doctor's office to obtain additional information that is required to complete verification of benefits
• Verify and document insurance coverage of medications, administration supplies and related pharmacy services including prior authorization requirements and coordination of benefits
• Notify doctor's office if a prior authorization is required; fax forms to the doctor's office for completion
• Place outbound calls to patients or doctor's offices to notify of any delays due to more information needed to process or due to a prior authorization
• Other duties as assigned

Qualifications:

• High school diploma from an accredited school or equivalent GED
• 1 year of work experience in a health care related/insurance related field
• Prior experience working with computer programs

Additional Qualifications:

• Previous healthcare billing is a plus
• Excellent communication skills (verbal and written)
• Problem solving skills
• Self motivated and detail oriented

If you are interested in the position, please apply with an updated resume and we will reach out to coordinate an interview.