Insurance Specialist Jobs

About The Position

Requirements

• High school diploma or equivalent required.
• Minimum of 1–2 years of insurance verification experience in a medical practice.
• Experience with electronic medical records and practice management software.
• Strong attention to detail and organizational skills, with the ability to manage multiple priorities.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office and insurance payer websites/portals.
• Ability to work independently and as part of a team.

Nice To Haves

• Medical office or healthcare administration experience.
• Insurance verification experience in dermatology or another specialty.
• Knowledge of dermatology procedures and payer requirements.

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 by payer portals or 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 before patients’ appointments.
• Collaborate with scheduling, billing, front office, and clinical teams to resolve insurance-related issues in a timely manner.
• Maintain knowledge of commercial, Medicare, Medicaid, and managed care insurance plans and payer-specific policies.
• Ensure compliance with HIPAA and applicable payer and regulatory requirements.

Benefits

• Benefits packages for eligible full-time employees.
• PTO, including 6 paid holidays, a floating holiday, and vacation time.
• 401K.