Insurance Verification Specialist

Miami Gardens, FL

Full Time

Mid Level

We are currently in search of an experienced Insurance Verification Specialist to join our highly professional team. This vital role involves verifying patient insurance coverage, communicating effectively with the medical team, and coordinating with insurance providers to ensure smooth claim processing and payment.

Position is In-House

Key Responsibilities:

Verify patient's insurance coverage details and benefits eligibility.
Work alongside medical staff to ensure all necessary documentation is in place for insurance processing.
Communicate with insurance providers to clarify discrepancies and resolve issues in a timely manner.
Process insurance claims and patient statements
Maintain updated records of insurance policies and coverage.

Qualifications:

Minimum 2 years of experience in a similar role, preferably within the healthcare sector.
Experience with Availity, Evicore, Optum pay and other insurance company portals for eligibility, authorization, and claim status checks.
Experience with posting medical payments accurately and appealing denials when necessary to ensure timely reimbursement.
Knowledge of insurance processes, including Verification of Benefits (VOB).
Exceptional communication skills, both written and verbal.
High attention to detail and superior organizational abilities.
Advanced proficiency in the use of computer systems and applications like Electronic Health Rec

No Third Party Agencies or Submissions Will Be Accepted.

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

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How many years' experience do you have as an Insurance Verification Specialist or similar role in the healthcare industry?*

Do you have experience with Availity, Evicore, Optum pay and other insurance company portals for eligibility, authorization, and claim status checks? (Please select all that apply)* AvailityEvicoreOptumOther insurance company portalsNo experience

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