Insurance Verification Specialist

Description

Robert Half is hiring a full-time Insurance Verification Specialist to join our client! This candidate will work closely with the Revenue Cycle Manager while performing all components in the Insurance Verification/Authorization process for existing and new patients, as well as working closely with staff. This person will act as the connection between internal and external customers to assist in the account billing resolution process and escalate issues which impact claim submission and payment. The ideal candidate will encompass excellent customer service and keen attention to detail.

If you are interested in this opportunity, contact Paige @~~~!

Responsibilities

Conduct insurance verification and authorization validation on scheduled patients to ensure eligibility and benefits for accurate claim submission and payment.

Utilize SSI online eligibility verification system

Request pre-authorization for scheduled procedures, urgent procedures and imaging.

Accurately notate the account with actions taken for pre-certification.

Coordinate Peer-to-Peer reviews with providers for denied requests.

Follow up on pending authorization requests in a timely manner.

Communicate with Patient Financial Advocate regarding patient's financial responsibility

Review confirmation reports to identify payer rejection issues and execute payer procedures needed to reduce occurrence of future rejections.

Perform independent research

Identify billing or payer edit opportunities

Assist management team in providing training and assistance to other staff members with issues of billing, collection and/or denial processing techniques.

Communicate areas of concern regarding account billing or collections to a manager in a timely manner

Follow department policies and procedures as required to meet payer and regulatory requirements

Requirements

Required Qualifications

Experience with Microsoft Word, Excel and Outlook

Learn new programs and systems

Read and evaluate Healthcare Receivables Information

Effectively communicate to the staff, management and payers

Experience with all payer types such as commercial, governmental, Medicare, Medicaid, and HMO

Preferred Qualifications

High school diploma or equivalent

1 or more year(s) in Healthcare Customer Service, Insurance Verification and Billing System

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (~~~) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit ~~~ for more information.

© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https:///~~~/us/en/terms) .