Insurance Verification - Maitland, FL

Advanced Dermatology and Cosmetic Surgery • Maitland, FL

5d • Onsite

About The Position

Advanced Dermatology and Cosmetic Surgery is seeking an Insurance Verification Specialist to join their team. This role is crucial for ensuring accurate insurance coverage information, minimizing claim denials, and providing a seamless patient experience. The company emphasizes a family-like work environment and delivering the highest quality patient care.

Requirements

• High school diploma or equivalent required.
• Minimum of 1–2 years of insurance verification experience in a medical practice, preferably dermatology or another specialty.
• Experience with electronic medical records and practice management software.
• Strong attention to detail, organizational skills, and ability to manage multiple priorities.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office and insurance payer websites/portals.
• Insurance eligibility and benefits verification.
• Knowledge of dermatology procedures and payer requirements.
• Problem-solving and critical thinking.
• Time management and organization.
• Accuracy in documentation and data entry.
• Ability to work independently and as part of a team.

Nice To Haves

• Medical office or healthcare administration experience preferred.

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 via payer portals or by 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 prior to the patient's appointment.
• Collaborate with scheduling, billing, front office, and clinical teams to ensure timely resolution of insurance-related issues.
• Maintain knowledge of commercial, Medicare, Medicaid, and managed care insurance plans, as well as payer-specific policies.
• Ensure compliance with HIPAA and all applicable payer and regulatory requirements.

Benefits

• Career Advancement Opportunities
• Paid holidays, vacation, floating holiday, AND personal time off
• Benefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30+ hours per week)
• 401(k) matching

What This Job Offers

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