Medical Insurance Verification Specialist Job at Robert Half (Los Angeles)

Insurance Verification Specialist

Detail-oriented Insurance Verification Specialist to join a local government sec...

Location

United States , Baltimore

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in a similar role or related field
Proficiency in using EMR (Electronic Medical Records)
Experience in patient registration
Ability to manage and update patient demographic information
Proficient in performing insurance verifications
Strong data entry skills
Knowledge and understanding of the health care industry

Job Responsibility

Conducting regular follow up and communicating with clinic patients over the phone
Schedule patient visits including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments
Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record
Utilizing clinical electronic medical records for data entry and management
Conducting patient registration including obtaining demographic information
Ensuring data accuracy while entering into a spreadsheet and the electronic medical record
Making phone calls to patients to gather necessary details for calculating federal poverty limit
Monitoring patient accounts and taking actions when necessary

What we offer

Medical, vision, dental, life and disability insurance
401(k) plan
Free online training

Fulltime

Patient Access Specialist

We are looking for a dedicated Patient Access Specialist to join our team in Bet...

Location

United States , Bethel Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in patient registration, scheduling, or related healthcare roles
Strong skills in medical insurance verification and understanding of compliance standards
Excellent interpersonal and communication abilities to assist patients and provide exceptional service
Proficiency in using auditing systems and reporting tools for account corrections
Ability to manage inbound and outbound calls to collect patient information and financial liabilities
Familiarity with consent forms and patient education materials
Detail-oriented with the capability to meet point-of-service collection goals
Adept at working with insurance verification systems and maintaining clean claim rates

Job Responsibility

Accurately assign medical record numbers (MRNs) and complete compliance checks to ensure proper patient documentation
Provide clear and compassionate instructions to patients while collecting insurance information and processing physician orders
Meet assigned point-of-service goals through efficient and precise handling of patient accounts
Conduct audits of patient accounts to ensure accuracy and compliance, generating statistical reports for leadership as needed
Perform pre-registration tasks by contacting patients to gather demographic, insurance, and financial information, including past due balances
Explain and obtain signatures for general consent forms, distributing educational documents to patients and guardians
Verify insurance eligibility and input benefit data into the system to support billing and point-of-service collections
Screen medical necessity using approved software, informing patients of potential non-payment scenarios when applicable

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

Fulltime

Medical Staff Credentialing Specialist and Coordinator

The Medical Staff Credentialing Specialist and Coordinator assists the Medical D...

Location

United States , Medina

Salary:

50000.00 - 60000.00 USD / Year

Orleans Community Health

Expiration Date

Until further notice

Requirements

Associates Degree or Certified Provider Credentialing Specialist (CPCS)
A minimum of 2-3 Years Credentialing experience is preferred
Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience
Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers
Understanding of Malpractice insurance coverages and policies
Knowledge and understanding of credentialing process
Ability to organize and prioritize work and manage multiply priorities
Ability to research and analyze data
Ability to work independently with minimal supervision
Ability to establish and maintain effective working relationships with providers, management, staff and external contacts

Job Responsibility

Compiles and maintains current and accurate data for all providers
Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
Maintains corporate provider contract files
Maintains knowledge of current health plan and agency requirements for credentialing providers
Sets up and maintains provider information in online credentialing databases and system
Tracks license and certification expirations for all providers to ensure timely renewals
Ensures practice addresses are current with health plans, agencies and other entities
Audits health plan directories for current and accurate provider information
Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs

What we offer

vacation and sick time
health, dental and vision
pension and retirement plan
competitive wages, with superior pension and retirement plans with employer contributions
12% shift differential for working evening and night shifts
excellent vacation, holiday and sick leave package
tuition assistance
free parking

Fulltime

Billing Specialist

Location

United States

Salary:

Not provided

Pafford EMS

Expiration Date

Until further notice

Requirements

Proficient with a PC
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Knowledge of Medical Billing
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and commercial payers
Customer service skills for interacting with patients regarding medical claims and payments
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
Ability to work independently and with a group
Working knowledge of MS Word, Excel

Job Responsibility

Obtain referrals and pre/post-authorizations for ambulance services
Check eligibility and benefits verification
Review insurance and facility claims for accuracy and completeness
Prepare, review, and transmit claims using billing software, clearinghouse, and payer websites
Following up on unpaid claims within standard billing cycle timeframe
Reviewing underpaid claims for appropriate escalation steps to ensure appropriate reimbursement for services
Calling insurance companies regarding any payment discrepancies
Identifying and billing secondary or tertiary insurance
Processing incoming mail and taking appropriate follow up actions to resolve accounts
Researching and appealing denied claims

Medical Insurance Claims Specialist

We are looking for a Medical Insurance Claims Specialist to join a healthcare te...

Location

United States , Vancouver

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in insurance verification, medical billing, claims support, or a related healthcare administrative role
High school diploma or equivalent required
additional education in healthcare administration or a related field is preferred
Working knowledge of insurance eligibility review, patient benefits coordination, and medical claims processes
Familiarity with prior authorization and referral requirements across a range of insurance carriers
Understanding of medical terminology and its application in coverage verification and billing support
Strong organizational skills with a high level of accuracy and attention to detail
Effective verbal and written communication skills, along with a customer-focused approach when assisting patients and internal teams
Proficiency with healthcare software platforms and Microsoft Office applications

Job Responsibility

Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered
Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices
Enter, verify, and maintain accurate insurance and benefits information within the patient management system
Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner
Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission
Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification
Follow established healthcare regulations and organizational standards when handling patient information and insurance records

What we offer

medical, vision, dental, and life and disability insurance
enrollment in company 401(k) plan

Fulltime

Insurance Verification Specialist

Our team is seeking an Insurance Verification Specialist to join our healthcare ...

Location

United States , Portland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in insurance verification or medical billing (minimum 1 year preferred)
Familiarity with healthcare insurance plans and terminology
Strong organizational and communication skills
Customer service experience in a medical office or healthcare environment
Ability to work independently and collaboratively

Job Responsibility

Verify insurance eligibility, benefits, and authorizations through phone, online portals, and direct contact with payers
Update and maintain patient records with accurate insurance information
Communicate coverage details to patients, providers, and internal staff
Coordinate with billing department to ensure claims are submitted correctly and timely
Resolve insurance verification issues and follow up on pending cases
Ensure compliance with all relevant regulations and privacy standards

What we offer

Competitive compensation and benefits
Opportunities for career growth and skill development
Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance
Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan

Medical Insurance Claims Specialist

We are looking for an experienced Medical Insurance Claims Specialist to join ou...

Location

United States , Worthington

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical claims processing and insurance eligibility verification
Strong knowledge of medical billing procedures and healthcare industry standards
Familiarity with insurance claims systems and patient data management
Excellent attention to detail and organizational skills
Ability to collaborate effectively with healthcare providers and insurance companies
Proficiency in analyzing and resolving claim-related discrepancies
Strong communication skills for interacting with patients and stakeholders
Knowledge of relevant regulations and compliance standards in medical billing

Job Responsibility

Process medical insurance claims with a high level of accuracy and attention to detail
Verify patient eligibility and insurance coverage to ensure proper billing procedures
Collaborate with healthcare providers and insurance companies to resolve claim discrepancies
Maintain comprehensive records of claims and billing activities for audit purposes
Identify and address issues with insurance claims to prevent delays in processing
Review and analyze patient data to ensure compliance with insurance requirements
Assist in the preparation and submission of claims to insurance carriers
Provide support and guidance to team members regarding claims procedures and policies
Stay updated on changes in medical billing regulations and insurance policies
Communicate effectively with patients and stakeholders to address billing inquiries

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Medical Billing – Qualification Specialist

Location

United States , Plymouth Meeting

Salary:

Not provided

Beacon Hill

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Proven experience with insurance verification, prior authorizations, or reauthorizations in a medical or healthcare setting
Strong knowledge of Medicare, Medicaid, private insurance, and managed care plans
Working knowledge of medical terminology, CPT codes, and ICD-10 coding
Experience using EHR/EMR systems, insurance portals, and billing software
Excellent attention to detail, organization, and written and verbal communication skills
Strong customer service skills with the ability to communicate effectively with patients, providers, and insurance representatives

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Medical Insurance Verification Specialist

Job Description

Job Responsibility

Requirements

Nice to have

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