Major Medical Verifications Specialist

Alliance Health System • Matawan, NJ

15h

About The Position

Alliance Health System is seeking an Insurance Verification Specialist to review patient insurance and ensure necessary procedures are covered. The role involves accurately entering and updating patient benefit information in the organization’s insurance system and verifying existing information. The successful candidate can focus and work quickly to process insurance paperwork in a timely manner.

The specialist is part of the administrative team and gathers information based on individual patient coverage. The role requires maintaining patient confidentiality, communicating clearly with patients and insurance companies, and documenting information concisely, precisely, and accurately. Employment is contingent upon successful completion of a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law.

Requirements

• High school diploma or equivalent.
• Ability to exhibit a high level of confidentiality.
• Attention to detail.
• Ability to work independently and as part of a team.
• Interpersonal skills.
• Excellent verbal and written communication skills.
• Ability to handle multiple responsibilities simultaneously in a deadline-driven environment.
• Strong understanding of benefits investigation, deductibles, co-insurance, out-of-pocket expenses, and benefit exclusions.
• Knowledge of CPT, ICD-9, and ICD-10 codes.
• Minimum of 1 year of experience in insurance verification, health education, patient navigation, and/or the health clinic patient assistance field.
• Successful completion of a background check is required as a condition of employment.

Nice To Haves

• NJ PIP/Auto verification experience.

Responsibilities

• Execute insurance verifications for all patients.
• Gather information based on individual patient coverage as a member of the administrative team.
• Maintain strict confidentiality of patient information.
• Maintain clear communication with patients and insurance companies.
• Document all information concisely, precisely, and accurately.
• Enter and update patient benefit information in the organization’s insurance system and verify existing information.

Benefits

• Collaborative environment fostering continued growth in a multidisciplinary approach.
• Very competitive salary and a runway for professional growth.
• Medical, dental, and vision insurance.
• Accrued paid time off and sick time.
• Six paid company holidays.
• Annual CEU reimbursement budget for licensed clinicians.
• Retirement savings account with a percentage-based company match.

What This Job Offers

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