Insurance Verification Specialist (Healthcare)
About The Position
Multi-specialty Ambulatory Surgery Center looking for full time Insurance Verification Specialist in Healthcare, Monday - Friday 8:30am - 4:30pm. This position is responsible for verifying patient's insurance coverage, eligibility, and benefits prior to services being rendered. Confirms policy details including deductibles, co-pays, co-insurance, and out-of-pocket maximums. Identify coverage limitations and notify patients and internal teams of potential financial responsibility. Accurately enter and update insurance information in electronic health record. Communicate with insurance carriers via phone, portals, and electronic systems. Collaborate with front desk, billing, coding and clinical staff to resolve insurance issues. Ensure compliance with payer guidelines and healthcare regulations. Maintain confidentiality and adhere to HIPAA standards. Position is located at Waterbury Surgery Centers Business Office in Prospect, CT.
Requirements
- Minimum 1 year of experience in healthcare insurance verification.
- Knowledge of commercial, Medicare, and Medicaid insurance plans.
- Proficiency with EHR.
- Strong attention to detail and organizational skills.
- Excellent communication and customer service skills.
Nice To Haves
- Familiarity with CPT, ICD-10 and authorization processes a plus.
Responsibilities
- verifying patient's insurance coverage, eligibility, and benefits prior to services being rendered
- Confirming policy details including deductibles, co-pays, co-insurance, and out-of-pocket maximums
- Identifying coverage limitations and notify patients and internal teams of potential financial responsibility
- Accurately entering and updating insurance information in electronic health record
- Communicating with insurance carriers via phone, portals, and electronic systems
- Collaborating with front desk, billing, coding and clinical staff to resolve insurance issues
- Ensuring compliance with payer guidelines and healthcare regulations
- Maintaining confidentiality and adhere to HIPAA standards
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
