Insurance Benefits Verification Specialist - Onsite

Vero Orthopaedics Inc • Vero Beach, FL

3d • Onsite

About The Position

The Insurance Benefits Verification Specialist helps patients access medical services, treatments, and therapies by working directly with insurance companies to verify coverage, determine benefits, identify potential limitations, and accurately document insurance information. The role requires someone organized and resourceful who is comfortable navigating insurance requirements in a busy medical office environment.

Requirements

• High school diploma or equivalent required.
• Strong computer skills, including Microsoft Outlook, Word, and Excel.
• Excellent attention to detail and accuracy in data entry.
• Strong organizational and time-management skills.
• Ability to multitask and prioritize responsibilities in a fast-paced environment.
• Effective verbal and written communication skills.
• Strong problem-solving and analytical abilities.
• Ability to work independently while contributing to a collaborative team.
• Professionalism, dependability, and a commitment to maintaining patient confidentiality.

Nice To Haves

• Previous experience in insurance benefits verification, medical billing, patient access, or healthcare administration.
• Familiarity with commercial insurance, Medicare, and Medicare Advantage plans.
• Experience navigating insurance payer websites and eligibility verification systems.
• Understanding of healthcare terminology, insurance coverage, deductibles, copayments, and coinsurance.
• Medical insurance experience is preferred; candidates with strong healthcare administrative or insurance customer service backgrounds are encouraged to apply.

Responsibilities

• Verify patient insurance eligibility, coverage, and benefits for medical services, treatments, and therapies.
• Contact insurance companies by phone or through online payer portals to obtain accurate benefit information.
• Determine patient-specific coverage details, including deductibles, copayments, coinsurance, out-of-pocket costs, and coverage limitations.
• Identify referral, prior authorization, and other insurance requirements.
• Review and update insurance benefit information regularly to ensure accuracy.
• Research insurance discrepancies and work to resolve coverage-related issues.
• Accurately document verification results in the electronic medical record and other applicable systems.
• Communicate important insurance information to appropriate departments to help prevent delays in patient care.
• Maintain organized and accurate records while managing multiple verification requests.
• Assist with additional revenue cycle projects and administrative responsibilities as assigned.

Benefits

• Competitive pay
• Medical, dental, and vision insurance
• 401(k) retirement plan
• Life insurance
• Disability insurance
• Paid time off
• Consistent Monday–Friday schedule
• Opportunity to work with an established healthcare organization serving the Treasure Coast since 1976

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED