Insurance Verification Representative

CCS • Houston, TX

5d • Remote

About The Position

As a Verification Representative, you’ll be at the heart of our operations as you deliver first-class customer service in every interaction in our call center. You will be responsible for qualifying patients’ insurance coverage and ensures patient orders are accurate and complete prior to shipment claim. The verification representative will verify coverage for governmental, commercial insurance companies and patient accounts. You’ll be the one of our subject matter experts that will help us solve our patient’s challenges-and deliver on our promise of superior customer service.

Requirements

• High School diploma
• One-year medical insurance verification related experience or equivalent combination of education and experience
• One year of customer service experience required
• Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
• Ability to analyze and correct accounts receivable problems
• Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
• Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
• Ability to understand Medical Records documents

Nice To Haves

• Position may require evening and weekend availability

Responsibilities

• Makes outbound calls to insurance companies to verify insurance benefits
• Evaluates insurance coverage in order to determine the policy’s compatibility with our program and recommends the appropriate products based on the patient’s needs and insurance coverage
• Efficiently and accurately verifies, reviews, documents and completes insurance verifications
• Identifies and initiates documentation needs and requests to permit timely billing of services and communication with appropriate team(s)
• Reviews patient accounts and determines appropriate action(s) needed to collect payment
• Reviews claims and performs claim corrections and submissions to new carrier based on new plan verification
• Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
• Ability to analyze and correct accounts receivable problems
• Maintains a high degree of confidentiality always due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements

Benefits

• Competitive Salary
• Bonus/Incentive Opportunities/commission: (if applicable)
• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off (vacation and holidays)
• Ongoing training and professional development
• Remote or hybrid work options (if applicable)
• Wellness programs and mental health support

What This Job Offers

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