Insurance Verification Specialist

TEKsystems•Baltimore, MD

2d•$18 - $23•Onsite

About The Position

We are seeking a detail-oriented Insurance Verification Specialist to join our team. In this role, you will be responsible for verifying insurance coverage and benefits, obtaining necessary authorizations, and ensuring accurate patient information for billing and clinical purposes. This position plays a critical role in supporting smooth patient care and financial processes.

Requirements

High School Diploma or GED required.
Minimum 2 years in insurance verification, benefits of coordination, authorization, AR, or medical billing within a healthcare or hospital setting.
Strong computer proficiency and familiarity with payer portals.
Knowledge of all major payers and insurance processes.

Nice To Haves

Experience with Epic (preferred).
Bilingual in English/Spanish is a plus but not required.

Responsibilities

Verify insurance coverage and benefits using all available tools and payer portals.
Contact payers directly to obtain additional information as needed.
Secure referrals, authorizations, or pre-certifications prior to services as required by payer guidelines.
Collect and confirm patient demographic and clinical information to ensure accurate identification.
Estimate patient financial responsibility (self-pay portions, deductibles, co-pays, non-covered services) after benefits are determined.
Accurately capture and enter patient demographic, financial, and clinical data into information systems.
Complete pre-registration and scan documents into appropriate systems in a timely manner.