Insurance Verification Specialist

This is a fully remote position, open to applicants in Minnesota.

📋 Description

• Identify patients’ primary, secondary, and tertiary insurance providers.

• Confirm patient benefits and eligibility by reaching out to insurance companies.

• Request prior authorizations and referrals for necessary services.

• Assess the financial impact on patients and inform them of potential financial obligations.

• Verify medical insurance benefits for new, current, and reactivated patients.

• Review and update patient accounts with relevant insurance policy details.

• Document accounts with clear summaries of eligibility and insurance benefits.

• Establish accurate Coordination of Benefits.

• Verify network status and member benefit coverage.

• Collect and accurately input insurance, demographic, and eligibility data.

• Examine customer files for any missing insurance information essential for billing.

• Conduct financial reviews of existing accounts to identify any benefit-related issues.

• Manage incoming faxes, manuals, logs, and other documentation effectively.

• Complete insurance verification, reimbursement summaries, and liability forms.

• Inform the Manager of trends and updates in verification processes.

• Achieve individual, departmental, and organizational objectives.

• Operate in accordance with ethical and professional standards, adhering to relevant laws, regulations, the Advamed Code of Ethics, and company policies.

• Carry out additional duties as assigned.

⛳️ Requirements

• High school diploma required.

• Familiarity with medical terminology is essential.

• A minimum of two years’ experience in medical insurance plans or benefit verification practices.

• Exceptional written and verbal communication skills.

• Capability to read and comprehend explanations of medical benefits.

🏝️ Benefits

• Comprehensive medical, dental, and vision insurance coverage.

• Company-sponsored wellness initiatives.

• Access to mental health resources.

• Paid leave of absence for qualifying circumstances.

• Generous paid parental leave for both birthing and non-birthing parents.

• Competitive 401(k) plan with immediate vesting company match.

• Financial planning assistance.

• Corporate discount programs.

• Ample paid time off.

• Flexible work hours.

• Options for flexible work arrangements may be available.

• Opportunities for continuous learning and career advancement through training programs.

• Mentorship opportunities.

• Tuition reimbursement options.

• Recognition programs.

• Bonus opportunities.

• Awards and special events.

• Team-building activities.

• Volunteer opportunities.

• Company-sponsored events.