Verification Specialist Job at Zelis (St. Petersburg)

Insurance Verification Specialist

Evident ID is hiring an Insurance Verification Specialist. We are seeking an Ins...

Location

United States

Salary:

15.00 USD / Hour

Evident ID

Expiration Date

Until further notice

Requirements

Minimum 3 year of experience in business insurance, insurance agent license preferred
Familiarity with Certificates of Insurance (COI)
At least 2 years of experience in phone verification or customer service roles, ensuring effective issue resolution
Proficiency in English communication with a strong emphasis on clarity and professionalism
Additional fluency in another language is desirable, enhancing customer interaction capabilities
Knowledge of Zendesk is advantageous for efficient support management
Adaptability to evolving industry standards and a proactive approach to continuous learning are expected for optimal performance
Demonstrating reliability and consistency in attendance to ensure coverage during designated working hours and contribute to the team's overall efficiency.

Job Responsibility

Conducting phone calls to verify information provided by clients or other relevant parties, ensuring accuracy and compliance with insurance policies
Establishing and nurturing long-term working relationships with insurance agencies, brokers, and other stakeholders to facilitate smooth information verification processes
Performing data entry tasks accurately and efficiently to record verified information into databases or management systems
Providing reports to managers regarding the progress of verification tasks, highlighting any discrepancies or issues encountered during the process
Taking ownership of assigned verification projects while collaborating effectively with team members to ensure seamless workflow and achievement of team goals
Maintaining a high level of professionalism during phone interactions to uphold the company's reputation and foster positive relationships with clients and partners
The Insurance Verification Specialist will report to the Team Lead or Manager within the Business Insurance Department

What we offer

Our team solves a crucial problem with huge business potential together, and we are able to see exactly how our contribution affects customers!
Recently named one of Atlanta's Coolest Companies & 50 on Fire by Atlanta Inno
Recently named one of the Top 10 Fastest Growing Companies in Atlanta & one of the Best Places to Work in Atlanta by Atlanta Business Chronicle

Parttime

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

Data Entry Specialist

Detail-oriented, organized, and looking for a flexible, project-based opportunit...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in data entry or similar administrative tasks
Strong computer skills and proficiency in Microsoft Excel and other data management tools
Excellent attention to detail and organizational abilities
Effective communication and problem-solving skills
Ability to work independently and meet strict deadlines

Job Responsibility

Enter and update information into digital systems with precision and attention to detail
Verify data for accuracy and completeness
Maintain confidentiality of sensitive information
Collaborate with team members to ensure project deadlines are met
Perform regular audits to ensure high data integrity

What we offer

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

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

Insurance Verification Specialist

We are looking for a detail-oriented Insurance Verification Specialist to suppor...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in customer service, insurance verification, healthcare support, or a related administrative role
Working knowledge of insurance plans, referrals, prior authorization processes, and medical coverage review
Ability to document accurately in patient records and maintain a high level of attention to detail
Strong verbal and written communication skills for interacting with payers, care teams, and support staff
Familiarity with Microsoft Office applications and web-based systems used for verification and documentation
Understanding of compliance expectations, policies, and procedures in a healthcare or regulated environment
Ability to manage multiple tasks, troubleshoot issues, and stay organized in a fast-paced setting

Job Responsibility

Review insurance benefits, referral conditions, and authorization guidelines to determine coverage requirements before scheduled services
Work through payer websites and communication channels to submit authorization requests and provide supporting clinical details when needed
Record verification and authorization outcomes in the patient record using accurate medical terminology and complete documentation
Update coverage information in health records to reflect the most current insurance details obtained during review activities
Arrange pre-authorizations, pre-certifications, and additional approvals for inpatient and outpatient services across multiple departments and care settings
Identify delays or obstacles that may affect authorization approval and escalate issues promptly to support continuity of patient care
Communicate clearly with internal teams, payers, and other stakeholders to resolve coverage questions and support service readiness
Participate in virtual training and follow established workflows, policies, and quality standards while handling assigned tasks

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

Medical Insurance Verification Specialist

A Healthcare Company is seeking a Medical Insurance Verification Specialist to j...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum 2 years of experience in medical insurance verification
Experience with HMO, PPO, and government insurance plans
Excellent communication and organizational skills
Strong attention to detail and ability to multitask

Job Responsibility

Verify patient eligibility, coverage, and benefits for HMO, PPO, and government insurance plans
Communicate with insurance providers and patients to resolve coverage questions and discrepancies
Document all verification activities and update patient records accurately
Collaborate with clinical and administrative staff to ensure appropriate coverage for planned procedures, including surgery
Assist patients in understanding their insurance benefits and any out-of-pocket costs

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Insurance Verification Specialist

Robert Half is seeking a detail-oriented Insurance Verification Specialist for a...

Location

United States , Moline

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
1+ years of experience in insurance verification
Excellent communication skills—comfortable speaking with patients over phone and in person
Typing skills (minimum 45 wpm)
Ability to operate standard office equipment as needed
Familiarity with patient accounting software
Proficiency with Microsoft Excel, Word, Outlook, and Internet Explorer
Ability to read and comprehend insurance benefit and managed care documentation

Job Responsibility

Review patient details and scheduled procedures, and identify any required medical implants
Verify insurance benefits by communicating with payers via phone or online platforms
Calculate estimated patient amount due based on insurance contracts and procedure specifics
Document all insurance and billing interactions accurately and in a timely manner
Maintain thorough records using provided templates and forms
Contact patients prior to scheduled procedures to discuss payment responsibilities and attempt pre-collection
Identify and obtain any necessary pre-authorizations or precertifications
Monitor daily activity to ensure all patients are verified for upcoming procedures
Address patient questions and concerns with professionalism, contributing to positive survey results and overall satisfaction
Escalate any billing discrepancies, challenging interactions, or unwillingness to pay to management

What we offer

medical
vision
dental
life insurance
disability insurance
401(k) plan

Fulltime

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Verification Specialist

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