Insurance Verification Coordinator

Goodwin Living•Falls Church, VA

2d•$32 - $34

About The Position

In essence, an insurance verification specialist is responsible for verifying accurate insurance benefit information in a timely manner. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities. Goodwin Living is a nonprofit senior living and healthcare organization based in Alexandria, Virginia, driven by its mission to support, honor and uplift the lives of older adults and those who care for them. The company is recognized as a Top Workplace in the D.C. region and nationally, fostering an inclusive and vibrant culture that values every voice and offers opportunities for personal and professional development.

Requirements

High school diploma required
Understanding medical terminology, medical billing practices, and HIPAA privacy regulations.
Ability to clearly explain financial responsibilities to patients and negotiate with insurance carriers.
Proficiency in practice management software, web-based payer portals and Microsoft Office.
Ability to be self-directed in accomplishing the coordination and decision-making responsibilities of this position and be resourceful in problem solving.
Knowledge of insurance regulations, billing, and reimbursement requirements.
Knowledge of Medicare, MA, HMO, and insurance coverage determinations, including Medicare secondary payer information.
Basic understanding of ICD-10 coding concepts and resources

Nice To Haves

bachelor’s degree preferred
2 years of billing and reimbursement experience preferred.

Responsibilities

Contacting insurance carriers or utilizing payer portals to verify active coverage, deductibles, co-pays, and network status prior to appointments.
Notifying patients of their out-of-pocket costs, explaining coverage details, and setting up payment arrangements.
Clear communication of patient benefit information relayed to intake and billing teams.
Accurately updating billing systems and electronic health records (HER) with verified demographic and insurance policy data.
Collaborate with clinical staff, provider offices, and insurance companies to resolve billing discrepancies or missing information.
Perform other duties that fit with your training and background experience or provide further training for new duties.