Medical Insurance Verification Specialist

Medical Insurance Verification Specialist Desert Bloom Family Medicine Phoenix, AZ Job Details Full-time $18 - $20 an hour 23 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Bilingual Record keeping Customer service Health insurance information HIPAA Medical coding experience in physician offices

ICD-9 ICD-10

Organizational skills Patient interaction Health information management Managing patient records Medical terminology Office experience Full Job Description Job Overview We are seeking a detail-oriented Bilingual Medical Insurance Verification Specialist to join our healthcare team in a busy office. The ideal candidate will verify patients' health insurance coverage, eligibility, and benefits before medical services, including copays, deductibles, and pre-authorizations for different providers. This role involves working with insurers, updating patient information in EHR systems, and using medical codes (ICD-10, CPT), while frequently interacting with patients and providers, requiring strong customer service and organizational skills. The specialist ensures accurate billing, compliance with healthcare regulations, and efficient patient service. Successful candidates will have a strong understanding of managed care, medical terminology, and medical records management. This position offers an excellent opportunity for individuals with office experience and a background in medical coding or insurance verification to contribute to smooth, professional healthcare operations. Duties Verify patient insurance coverage and benefits using various managed care systems and databases Confirm eligibility and authorizations prior to patient appointments or procedures Review and interpret medical records, including

ICD-9, ICD-10, CPT

coding, and other medical documentation Ensure compliance with HIPAA regulations during all verification processes Communicate with insurance companies to resolve coverage issues or discrepancies Maintain accurate records of insurance information and verification activities in the electronic health record system Collaborate with medical office staff to facilitate smooth billing and claims processing Assist in updating medical coding information and ensuring proper documentation for billing purposes Support the office in maintaining compliance with all relevant healthcare policies and procedures Experience Previous experience in a medical office setting Knowledge of insurance verification processes within managed care environments is highly desirable Familiarity with medical terminology, medical records management, and medical coding (ICD-9, ICD-10, CPT) is essential Experience working with HIPAA regulations to ensure patient confidentiality and data security Office experience involving insurance or billing functions is advantageous Strong understanding of ICD coding, ICD coding updates, and CPT coding standards is preferred This role is integral to ensuring accurate insurance verification and efficient patient service delivery. The successful candidate will possess excellent organizational skills, attention to detail, and a solid understanding of healthcare documentation processes.

Job Type:

Full-time Pay:

$18.00 - $20.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person