A growing healthcare organization is seeking a detail-oriented Insurance Verification Specialist to join its team. This position plays a critical role in ensuring accurate patient insurance information, verifying benefits and coverage, and supporting the revenue cycle process. The ideal candidate is customer-focused, highly organized, and comfortable working with insurance carriers, patients, and internal staff.
Key ResponsibilitiesVerify patient insurance eligibility, benefits, and coverage prior to services being rendered.
Contact insurance carriers to obtain authorization and pre-certification information as needed.
Review insurance plans and communicate coverage details, deductibles, copays, and out-of-pocket responsibilities.
Update and maintain accurate patient and insurance information within company systems.
Investigate and resolve insurance-related discrepancies or eligibility issues.
Collaborate with clinical, billing, and scheduling teams to ensure timely processing of patient appointments.
Maintain compliance with HIPAA and all applicable healthcare regulations.
Provide exceptional customer service when communicating with patients and insurance representatives.