Insurance Verification Specialist

TEKsystems • Baltimore, MD

12d • $18 - $23 • Onsite

About The Position

TekSystems is currently hiring for an Insurance Verification Specialist in the Baltimore, MD area! This position is looking to interview and start ASAP! You will be verifying insurance coverage and benefits utilizing all available verification and eligibility tools and calls payers to collect more information. You will also obtains the necessary referral, authorization, or pre-certification prior to services being provided as required by the payer. Also will be obtaining patient information to facilitate the verification of the unique patient identifiers for clinical purposes, billing and collections process. Will also be estimating self-pay portions after benefits have been determined (deductibles, co-pays, non-covered services). Responsible for the accurate, complete, and timely capture and data entry of patients’ demographic, financial, and clinical information into the various information systems including pre-registration and/or scanning information systems.

Requirements

• 1-3 years of related experience in a benefits/referral coordinator/insurance verification/authorization job/AR/medical billing in healthcare/hospital setting
• High School Diploma or GED required.
• 2+ years related experience in a benefits/referral coordinator/insurance verification/authorization job/AR/medical billing in healthcare/hospital setting
• Must be familiar with all payors and payor portals
• Must have STRONG Computer skills

Nice To Haves

• EPIC as they will be pulling data from EPIC but is not required, would be a huge plus!
• Bilingual ENLISH/SPANISH would be a huge PLUS, but not a must
• IDEAL TO HAVE EPIC as they will be pulling data from EPIC

Responsibilities

• verifying insurance coverage and benefits utilizing all available verification and eligibility tools
• calling payers to collect more information
• obtaining the necessary referral, authorization, or pre-certification prior to services being provided as required by the payer
• obtaining patient information to facilitate the verification of the unique patient identifiers for clinical purposes, billing and collections process
• estimating self-pay portions after benefits have been determined (deductibles, co-pays, non-covered services)
• accurate, complete, and timely capture and data entry of patients’ demographic, financial, and clinical information into the various information systems including pre-registration and/or scanning information systems

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees