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Enrollment / Eligibility Specialist
Tarpon Springs, FL
Find & Apply For Enrollment / Eligibility Specialist Jobs in Tarpon Springs, Florida
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Insurance Verification Specialist Hiregy•3.8 Tarpon Springs, FL Job Details $19•$22 an hour 2 days ago Qualifications Health insurance co-pays Medicare Spreadsheets Microsoft Office Medicaid health insurance Medicaid Full Job Description #IND123
Insurance Verification Specialist Location:
Tarpon Springs, 34689•This position is onsite
Pay:
$19.00 to $22.00 per hour
Type:
Contract, (2) month project
Schedule:
Job description: Verify patient insurance eligibility and benefits for scheduled clinic visits and outpatient procedures using payer portals and direct communication with insurance carriers. Review deductibles, copays, coinsurance, and coverage limitations to accurately determine patient financial responsibility and communicate expected out-of-pocket costs. Process insurance referrals and prior authorizations while ensuring all required documentation is obtained before scheduled services. Update and maintain accurate patient demographic and insurance information within the electronic health record (EHR) system to support accurate billing and reimbursement. Collaborate with patients, providers, insurance companies, and internal departments to resolve coverage issues, ensure authorization requirements are met, and deliver exceptional customer service.
Nice to have:
Solid knowledge of coinsurance
Requirements:
Must understand medical insurance including deductibles Must have experience with verifying Medicare, Medicaid, and major commercial health insurance and secondary payers Experience with referrals and prior authorization Medical terminology and ICD-10 Must be MS Office proficient including Excel High school diploma or equivalent Background check required Nicotine free organization