Insurance Verifier

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

📋 Description

• Enter and update insurance details in the relevant systems.

• Confirm eligibility for all insurance plans via online platforms or telephone.

• Distinguish between primary and secondary insurance, entering data in the correct COB sequence.

• Acquire claim numbers and authenticate claims for Workers' Compensation and Auto Insurance.

• Determine pre-authorization requirements and assess insurance eligibility through various online systems.

• Secure and document pre-authorization for scheduled patients.

• Gather pre-authorization guidelines for urgent patients and relay them to Utilization Management.

• Address verification issues and communicate relevant information to appropriate departments.

• Stay informed on third-party billing standards.

• Execute insurance verification and obtain pre- and retro-certification data for inpatient activities.

• Relay information to the Utilization Management team.

• Refer patients to Financial Counselors for financial support or payment arrangements when necessary.

• Manage confidential medical information.

⛳️ Requirements

• Must be a resident of Michigan.

• Possess a 2 Year / Associate Degree or equivalent experience.

• Have at least 1.5 years of relevant experience in healthcare and third-party billing.

• Medical experience is preferred.

• Strong knowledge of medical terminology is highly preferred.

• Proficient in keyboarding, mouse usage, computer skills, and Microsoft Office.

• Must have the capability to learn, access, and utilize over 10 specified computer programs within 90 days of employment.

• Exceptional oral and written communication skills are required.

• Ability to communicate effectively with patients, healthcare providers, technicians, hospital departments, and insurance companies.

• Competence in creating accurate documentation.

• Ability to perform online insurance verification using the Internet.

• Must demonstrate adaptability to change and maintain pace with ongoing advanced education requirements.

• Must be vaccinated or have lab-confirmed immunity for Measles, Mumps, Rubella, and Varicella, or meet applicable criteria.

• Must receive an annual flu vaccine during flu season or have an approved medical or religious exemption.

🏝️ Benefits

• Tuition reimbursement.

• In-person and online professional development opportunities.

• Access to a career hub.

• Comprehensive benefits package.

• Paid holidays.

• Generous paid time off (PTO).

• Employee discounts.

• Complimentary individual retirement counseling.

• Free wellness platform for you and your family.

• Tailored support for personal or family challenges.