Are you an experienced Insurance Verification Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!
??? The Insurance Verification Specialist will be responsible for verifying patient eligibility, coordinating benefits, running test claims and determining patient coverage/responsibility for services including, but not limited to primarily major medical insurance benefits verification, complex insurance plan verification and high volume PBM plans
Will need to be precise with reviewing benefit verification, some mediations require daily follow up, some medications require certain processes.
HS diploma or GED
Health insurance verification experience performing prior authorizations, overrides and rejections, coordination of benefits
Experience working in a call center or contact center (heavy call volume)
Ability to explain concepts of medical benefit plan design (cost benefit, co-insurance, lifetime benefit, out-of-pocket maximum, using J-codes, CPT codes and Diagnosis codes/ route of admin /place of service
Should have experience running a test claim
Experience calling insurance companies to see if something is covered
Hours for this Position:
Shift is 40 hours. Must be able to work between the hours of 8am-8pm, will be assigned a shift within that time frame. May need to work Saturdays, overtime. Need someone who is flexible. Shifts will be assigned during the training period
Training Onsite, Work Remote
-Position WILL go remote after training. Will train onsite
for minimum of 4 weeks, then will work remote through covid pandemic.
-Must have Land Line Phone to work Remote (costs about $20-$30 a month, but they won't need to travel to work and pay for gas)
-Must have high speed internet
-Must have private/quiet work place (no PHI or personal health info. violations, no children in background)
Advantages of this Opportunity:
??? Competitive salary, negotiable based on relevant experience
??? Benefits offered, Medical, Dental, and Vision
??? Fun and positive work environment
Interested in being considered?
Should you be interested in this Insurance Verification Specialist position, please click the Apply button below or email your resume to [Click Here to Email Your Resumé]
Michael Anthony Castillo
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.