Insurance Verification Representative
shift: First
work hours: 8 AM - 5 PM
education: High School Responsibilities What you will do:
- Verify Eligibility: Contact insurance providers to confirm patient benefits and coverage for procedures, tests, and surgeries.
- Secure Authorizations: Obtain necessary pre-certifications and authorizations before medical treatments are performed.
- Data Integrity: Accurately update patient records and insurance details in our internal systems.
- Collaborative Communication: Coordinate with providers, insurers, and internal billing teams to ensure a smooth reimbursement process.
- Maintain Compliance: Uphold strict HIPAA regulations regarding patient privacy and data security.
- Expertise: 2+ years of experience in Insurance Verification or Medical Billing with a strong command of insurance plans and medical terminology.
- Precision: Exceptional attention to detail and data entry accuracy for maintaining flawless patient records.
- Communication: strong interpersonal skills for professional daily interaction with insurance carriers, clinical staff, and patients.
- Problem-Solving: Proactive ability to navigate coverage discrepancies and authorization hurdles independently.
- Medical Authorizations experience (Required)
- Insurance Verification with private and government insurance plans (Required)
- Knowledge of HIPAA guideline (Required)
- Reimbursements (Required)
- Medical Office
- Insurance payments
- Insurance Verification (2 years of experience is required)
- Benefits
- Customer Service
- Medical Authorizations (2 years of experience is required)
- HIPAA (1 year of experience is required)
- Denial Management
- Reimbursements (2 years of experience is required)
- Years of experience: 2 years
- Experience level: Experienced
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected]. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days.
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