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Remote Medical Benefit Verification Specialist
7 days agoWhat's your preference?
Job Description
- Req#: 300000835443337
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely with flexible scheduling options
- Supportive and collaborative work environment
- Chance to make a positive impact on patient financial experiences
- Comprehensive training and development programs offered
What to Expect (Job Responsibilities):
- Verify insurance benefits, eligibility, and pre-determination requirements for all scheduled patients to ensure coverage and minimize claim denials
- Confirm that the correct insurance package has been loaded into the patient's chart and update records as needed
- Review provider schedules in the electronic medical record system to obtain referrals for HMO patients and authorizations for procedures and radiology testing
- Track and monitor authorizations and referrals, ensuring compliance with benchmark data and payer requirements
- Contact patients in advance of procedures to notify them of estimated financial responsibility and available payment options
What is Required (Qualifications):
- H.S. Diploma or GED required
- Minimum of 1-2 years of experience in insurance verification, patient access, medical billing, or healthcare financial services
- Strong understanding of insurance verification processes, medical benefit plans, and payer authorization requirements
- Proficiency in electronic medical records (EMR), financial systems, and patient scheduling software
- Knowledge of HIPAA regulations and patient confidentiality requirements
How to Stand Out (Preferred Qualifications):
- Associate Degree in Healthcare Administration, Business, or a related field
- Experience working with electronic medical records (EMR), patient scheduling systems, and insurance payer portals
- Excellent communication and customer service skills to interact professionally with patients, physician offices, and payers
- Strong attention to detail to ensure accuracy in insurance verification and documentation
- Ability to work independently and prioritize tasks in a fast-paced environment
#HealthcareServices #RemoteWork #CareerOpportunity #InsuranceVerification #PatientAccess
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