Insurance Verification - Maitland, FL

Advanced Dermatology and Cosmetic Surgery•Maitland, FL

7d•Onsite

About The Position

Advanced Dermatology and Cosmetic Surgery is seeking a focused, detail-oriented, and resourceful Insurance Verification Specialist to support its dermatology and aesthetic services practice. The role verifies patients’ insurance eligibility, benefits, and referral requirements before scheduled appointments and procedures. It helps ensure accurate coverage information, minimize claim denials, and provide a seamless experience for patients and clinical staff. The specialist determines patient financial responsibility, checks payer policies and coverage guidelines, obtains benefit and authorization information, documents findings, and communicates requirements to front office and scheduling staff. The role also resolves insurance discrepancies and registration issues in collaboration with scheduling, billing, front office, and clinical teams, while maintaining compliance with HIPAA and applicable payer and regulatory requirements.

Requirements

High school diploma or equivalent required.
Minimum of 1–2 years of insurance verification experience in a medical practice.
Experience with electronic medical records and practice management software.
Strong attention to detail and organizational skills, with the ability to manage multiple priorities.
Excellent verbal and written communication skills.
Proficiency in Microsoft Office and insurance payer websites/portals.
Ability to work independently and as part of a team.

Nice To Haves

Medical office or healthcare administration experience.
Insurance verification experience in dermatology or another specialty.
Knowledge of dermatology procedures and payer requirements.

Responsibilities

Verify patient insurance eligibility and benefits for office visits, procedures, surgeries, pathology, and other dermatology services.
Determine patient financial responsibility, including deductibles, copays, coinsurance, and out-of-pocket maximums.
Identify services requiring referrals and/or pre-certification.
Review payer-specific medical policies and coverage guidelines.
Contact insurance carriers by payer portals or phone to obtain benefit and authorization information.
Accurately document verification details and authorization information within the practice management system.
Communicate insurance requirements, benefit information, and patient financial responsibility to front office and scheduling staff.
Resolve insurance discrepancies, eligibility issues, and registration errors before patients’ appointments.
Collaborate with scheduling, billing, front office, and clinical teams to resolve insurance-related issues in a timely manner.
Maintain knowledge of commercial, Medicare, Medicaid, and managed care insurance plans and payer-specific policies.
Ensure compliance with HIPAA and applicable payer and regulatory requirements.