Healthcare Insurance Verifier

Healthcare Support
Published
October 16, 2020
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Category
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Description

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!

Daily Responsibilities:

??? 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.

Requirements:

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.

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