Insurance Verification Specialist

Description

PRM is currently seeking an Insurance Verification Specialist. In this role, you will verify insurance coverage for new patients and referrals, as well as update information for existing patients. Your duties will also involve calling to obtain pre-authorization for services, which requires strong phone communication skills. After verifying coverage, you will help patients understand what their financial responsibilities will be. Applicants should have extensive knowledge of out of network insurance benefits and medical billing experience.

Insurance Verification Specialist Duties and Responsibilities

• Verify insurance coverage and eligibility for patients 
• Review and interpret insurance policies and benefits 
• Obtain necessary authorizations for medical procedures 
• Communicate with insurance companies to resolve any coverage issues or discrepancies 
• Update patient records with accurate insurance information 
• Assist patients in understanding their insurance coverage and benefits 
• Collaborate with medical billing team to ensure accurate claims submission
• Other duties assigned

Requirements

• Previous experience in insurance verification or a related field 
• Knowledge of medical terminology and coding (ICD-10) 
• Familiarity with HIPAA regulations and guidelines 
• Proficient in using office software and electronic medical record systems 
• Strong attention to detail and accuracy in data entry 
• Excellent communication skills, both written and verbal 
• Ability to work independently and as part of a team in a fast-paced environment 
• Prior experience working in a medical office is preferred