Insurance Verification SpecialistPrecision Healthcare Specialists • Naples, FL, US
No longer accepting applications
Insurance Verification Specialist
Precision Healthcare Specialists • Naples, FL, US
2 days ago
Job type
- Full-time
Job descriptionHigh school diploma or equivalent required; associate degree preferred. 1–3 years of experience in medical insurance verification, pre-certification, or billing in a healthcare setting. Knowledge of commercial insurance plans, Medicare, Medicaid, HMOs, PPOs, and other payer types. Familiarity with EHR / EMR systems and medical terminology. Strong attention to detail and organizational skills. Excellent communication skills—both verbal and written. Ability to work independently in a high-volume environment. Bilingual a plus.
Job Description
Job Description
Description :
The Insurance Verification Specialist is responsible for verifying patient insurance coverage, ensuring proper billing, and minimizing claim denials by confirming benefits prior to appointments or procedures. This role plays a vital part in maintaining efficient revenue cycle operations and a smooth patient experience.
Key Responsibilities :
- Verify patient insurance eligibility, benefits, and authorizations prior to services being rendered.
- Confirm coverage details such as co-pays, deductibles, out-of-pocket maximums, and referrals.
- Contact insurance carriers via phone, online portals, or clearinghouses.
- Accurately document insurance information in the practice management system.
- Obtain and track prior authorizations and referrals as needed.
- Communicate coverage issues or changes to patients and clinical teams.
- Collaborate with schedulers and billing team to ensure service approval.
- Stay updated on payer guidelines and policy changes.
- Assist with follow-ups on pending verifications and authorization denials.
- Maintain patient confidentiality and adhere to HIPAA regulations.
Requirements :
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Insurance Verification Specialist • Naples, FL, US