Insurance Verification Specialist II #Full Time

Top Healthcare Provider Network

The employees of the Service Corporation support the mission of ColumbiaDoctors to help facilitate the delivery of world-class, patient-centered care by one of the top healthcare provider networks.

This position is primarily remote, candidates must reside in the Tri-State area.

Note: There may be occasional requirements to visit the office for training, meetings, and other business needs.

Opportunity to grow as part of a Revenue Cycle Career Ladder!

Job Summary:

The Insurance Verification Specialist II is responsible for verifying health insurance benefits for all new patients or existing patients. This position will contact patient’s insurance company to verify coverage levels and works with patients to walk them through their benefits information. Notify patient and help arrange alternative payment methods when insurance coverage does not cover services.

Job Responsibilities: • Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual’s provider. • Notify patient and help arrange alternative payment methods when insurance coverage does not cover services. • Responsible for entering data in an accurate manner in order to update patient benefit information correctly in EMR and verify that existing information is accurate. • Perform routine administrative and clerical tasks. • Verify insurance coverage in a timely matter. • Request payments from patients and guarantors where appropriate. • Perform related duties as assigned. • Complete insurance verification for more complex visit types (e.g. major surgery). • Act as a point of escalation and monitor supervisory or secondary work queues. • Work with complex insurance companies for verifications.

Job Requirements: • High school graduate or GED certificate is required. • A minimum of 1-year experience in a physician billing or third party payer environment. • Candidate must demonstrate working knowledge of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations. • Candidate must demonstrate the ability to understand and navigate the payer adjudication process. • Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred. • Knowledge of medical terminology is preferred. • Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges: $22.78 - $30.77

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.

61st Street Service Corporation

At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

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