Insurance Specialist

Insurance Specialist Unlisted For Privacy New York, NY Job Details Part-time | Full-time $27 - $30 an hour 1 hour ago Qualifications Revenue cycle management Appeals Customer communication Teamwork Insurance prior authorization Electronic health records (EHR) management 5 years Insurance claim appeals processing ICD-10 Certification Administrative experience Medical administrative support ICD-10 Analysis skills Clinical documentation Medical insurance appeals management Patient interaction Plastic surgery Senior level Managing patient records Communication skills

Full Job Description Job Title:

Full-Time Insurance Specialist Location:

New York, New York About Us:

Located in the heart of Midtown Manhattan, our plastic surgery practice specializes in aesthetic procedures of the breast and body, as well as non-surgical cosmetic treatments. While our office includes a fully accredited surgical facility, this position is entirely administrative and focused on insurance operations rather than clinical or surgical duties. Our practice prioritizes accuracy, reliability, and exceptional patient service. We value team members who are collaborative, detail-oriented, proactive, and committed to ensuring a smooth and transparent financial experience for our patients. Our office is conveniently located just a few blocks from Grand Central Station, Rockefeller Center, and Times Square—making it easily accessible by all major public transportation.

Position Overview:

We are seeking a highly experienced Insurance Specialist to join our administrative team on a full-time, in-office basis. The ideal candidate will have a minimum of 5 years of experience in medical insurance operations, with strong proficiency in out-of-network processes, gap exceptions, and single case agreements (SCAs). Experience in plastic surgery is also preferred but not required. This position is essential to maintaining accurate financial workflows, ensuring clear communication with patients, and supporting the practice's administrative and revenue cycle processes.

Schedule:

Monday through Friday, 9:00 AM - 5:00 PM This is an on-site position, five days per week.

Responsibilities:

Verify commercial and out-of-network insurance benefits. Process gap exceptions and single case agreements (SCAs). Obtain prior authorizations, pre-determinations, and medical necessity reviews. Review and interpret insurance fee schedules. Assist with preparation of accurate patient cost estimates for procedures. Conduct claim submission, tracking, and follow-up. Manage insurance denials and lead or support the appeals process. Collaborate with external billing companies as needed. Maintain accurate patient records and documentation in our Symplast EMR. Apply knowledge of CPT and ICD-10 coding (being a certified coder is definitely a plus). Ensure timely and organized communication with patients regarding financial obligations and insurance matters. Uphold a high level of professionalism, confidentiality, and attention to detail.

Qualifications:

Minimum 5 years of experience as an insurance specialist in a medical practice. Strong experience with out-of-network billing and benefit verification. Experience in plastic surgery or another out-of-network specialty preferred. Proficiency with gap exceptions, SCAs, authorizations, pre-determinations, and denials. Familiarity with CPT and ICD-10 coding (certification a plus). Experience using our Symplast EMR or willingness to learn. Excellent communication and interpersonal skills. Highly organized, detail-oriented, and able to work effectively in a fast-paced environment. Strong analytical skills and the ability to explain insurance decisions to patients clearly and professionally.

Compensation & Benefits:

$27-$30 per hour, commensurate with experience. Paid weekly. Comprehensive benefits package per practice policy. How to

Apply:

Please apply directly through Indeed. We are an equal opportunity employer and are committed to diversity in the workplace. Thank you for considering a career with us. We look forward to reviewing your application!

Pay:

$27.00 - $30.00 per hour

Work Location:

In person