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A National Healthcare Company is seeking a detail-oriented Medical Insurance Verification Specialist with 2+ years of experience to join our team in a fully remote capacity. In this role, the Medical Insurance Verification Specialist will be responsible for verifying patient insurance coverage, obtaining benefit information, and ensuring accurate documentation prior to services being rendered. Company-issued equipment will be provided to support your success in this remote position.
Job Responsibility
Verify patient insurance eligibility, benefits, and coverage details prior to appointments or procedures
Work with a variety of insurance plans, including HMO, PPO, Medicare, and Medicaid
Confirm referrals, authorizations, copays, deductibles, and out-of-pocket responsibilities
Communicate with insurance carriers, provider offices, and internal teams to resolve coverage issues
Accurately document verification details in patient accounts and internal systems
Identify and escalate discrepancies or denials as needed
Maintain compliance with HIPAA and company policies
Requirements
2+ years of experience in medical insurance verification, healthcare administration, or a related role
Strong knowledge of HMO, PPO, Medicare, and Medicaid insurance plans
Experience verifying eligibility, benefits, and authorizations
Familiarity with medical terminology, billing processes, and healthcare systems
Strong attention to detail and accuracy
Excellent communication and problem-solving skills
Ability to work independently in a remote environment