Insurance Verification Specialist Overview • The Insurance Verification Specialist role involves ensuring accurate insurance verification and billing processes for patient appointments and claims. • Work in a fast-paced environment requiring strong organizational and detail-oriented skills. • Collaborate with healthcare professionals to maintain efficient insurance and billing workflows. • Gain experience in ICD-10 and CPT code usage for claim processing and charge entry. • Contribute to patient financial planning by evaluating financial statuses and establishing payment plans. • Ensure compliance with insurance policies and procedures through verification and follow-ups. • Perform electronic billing tasks and manage ERA payment postings effectively. • Develop skills in handling patient inquiries and resolving billing-related issues. Insurance Verification Specialist Key Responsibilities & Duties • Verify insurance benefits for scheduled appointments via phone or internet. • Notify patients of benefits and estimated financial responsibilities. • Obtain referrals as required for specific patient visits. • Scrub claims to ensure accurate ICD-10 and CPT code charges. • Follow up with insurance companies on outstanding or denied claims. • Submit corrected claims, reconsideration requests, and appeals as needed. • Post ERA payments and manage electronic billing processes. • Handle patient calls, resolve billing inquiries, and establish budget payment plans. • Perform additional duties as assigned to support departmental operations. Insurance Verification Specialist Job Requirements • High School Diploma or GED is required. • 1-2 years of relevant experience in insurance verification or billing preferred. • Knowledge of ICD-10 and CPT codes is essential. • Strong organizational skills and attention to detail are necessary. • Ability to work independently and manage multiple tasks effectively. • Proficiency in electronic billing and ERA payment posting is advantageous. • Excellent communication skills for handling patient inquiries and insurance follow-ups. • Availability to work full-time, Monday through Friday, 8am to 5pm EST.