Major Medical Verifications Specialist

Alliance Health System • Aberdeen Township, NJ

10d • $45,000 - $55,000 • Onsite

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 data, updating patient benefit information in the organization's insurance system, and verifying that existing information is accurate. Success requires the ability to focus and work quickly, as insurance paperwork commonly needs to be processed in a timely manner. The specialist serves as part of the administrative team, gathers coverage information, protects patient confidentiality, communicates with patients and insurance companies, and documents information precisely.

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.
• Ability to handle multiple responsibilities simultaneously in a deadline-driven environment.
• Strong understanding of benefits investigation, deductibles, co-insurances, out-of-pocket expenses, and benefit exclusions.
• Knowledge of CPT, ICD-9, and ICD-10 codes.
• Minimum of 1 year of insurance verification experience, health education, patient navigation, and/or health clinic patient assistance experience.

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 data accurately and update patient benefit information in the organization's insurance system, while verifying 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