Insurance Verification Specialist
Coloplast
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $18 per hour
About the role
- Responsible for determining patient’s primary, secondary and tertiary insurance payer.
- Verify patients’ benefits, eligibility, and seek authorization for services by contacting insurance companies.
- Determine patient financial impact, if any, and inform them of any possible financial responsibility.
- Responsible for the timely verification of medical insurance benefits for new patients, existing patients with changes in insurance, and reactivated patients.
- Review and update patient accounts with insurance policy information and process requests accurately.
- Notate each account with a clear summary of patient eligibility and insurance benefits received from the carrier.
- Call government funded and commercial insurance companies to obtain prior authorizations or referrals.
- Determine the correct Coordination of Benefits.
- Complete verification requests confirming the correct network status through the company’s contracts with insurance payers to determine member benefit coverage.
- Ensure all insurance, demographic and eligibility information is obtained, and entered in the system in an accurate manner.
- Responsible for reviewing customer files for missing insurance information required to bill for services rendered.
- Perform financial review on existing accounts to identify benefit issues.
- Assist in maintaining inbound faxes, manuals, logs, and other documentation as required.
- Complete insurance verification and summary of reimbursement, and liability forms.
- Advise the Manager of verification trends and updates.
- Meets individual, departmental, and company goals.
- Occasionally engage in overtime if recognized as high performer.
Requirements
- High school diploma.
- Medical terminology.
- Two years’ experience in medical insurance plans or benefit verification practices.
- Excellent written and verbal communication skills.
- Ability to read and understand explanations of medical benefits.
Benefits
- Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy.
- Access to company sponsored wellness programs and mental health resources.
- Paid leave of absence for qualifying events.
- Generous paid parental leave for both birthing and non-birthing parents.
- A competitive 401(k) plan with company match that vest immediately.
- Financial planning services to help you secure your future.
- Corporate discount programs for goods and services.
- Generous paid time off.
- Flexible work hours.
- Flexible work arrangement options to help you balance your personal and professional life may be available.
- Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
- Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
- A supportive work environment where everyone feels valued, and has a sense of belonging.
- Participate in team-building activities, volunteer opportunities, and company-sponsored events.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance verificationbenefit verificationfinancial reviewCoordination of Benefitsmedical terminologypatient eligibility determinationauthorization for servicesclaims processingnetwork status verificationdocumentation management
Soft Skills
communication skillsorganizational skillsattention to detailproblem-solvingcustomer servicetime managementteam collaborationadaptabilityanalytical skillsgoal-oriented
Certifications
high school diploma