Medical Insurance Verification Specialist

Psychiatric Consultants of Central Florida • Kissimmee, FL

402d • $31,200 - $33,280

About The Position

The Insurance Verification Specialist plays a critical role in ensuring accurate verification and processing of patient insurance information within a healthcare setting. This position is essential for facilitating smooth operations and ensuring compliance with insurance requirements, while also maintaining patient confidentiality according to HIPAA regulations.

Requirements

• Proficient understanding of medical terminology and coding practices, including ICD-9.
• Experience with insurance verification processes, particularly in a medical office setting.
• Strong attention to detail with excellent organizational skills.
• Ability to communicate effectively with patients, healthcare providers, and insurance representatives.
• Familiarity with managed care systems.
• Knowledge of HIPAA regulations and compliance standards.
• Proficient in using office software and electronic health record (EHR) systems.

Nice To Haves

• Ability to relocate to Kissimmee, FL before starting work.

Responsibilities

• Verify patient insurance coverage and eligibility prior to appointments or procedures.
• Communicate with insurance companies to obtain necessary authorizations and resolve any discrepancies.
• Review and interpret ICD-9 codes, medical records, and managed care plans to ensure compliance with insurance requirements.
• Maintain accurate records of all verification processes and updates in the office database.
• Collaborate with healthcare providers to ensure that all necessary documentation is submitted for claims processing.
• Adhere to HIPAA regulations to protect patient confidentiality during the verification process.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed