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Tri State Community Health Center

Insurance Verifier

Entry-Level JobVerifiedNo experience needed

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What they do

A Medical Records Clerk compiles, processes, and maintains medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system.

$41,733 / year median in Tennessee

+6% projected growth

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Job Description

Insurance Verifier Tri State Community Health Center Memphis, TN Job Details Full-time $16.50 - $18.00 an hour 16 hours ago Benefits Disability insurance Health insurance Dental insurance Paid time off Employee assistance program Vision insurance 403(b) Life insurance Qualifications Customer communication Customer service Medical office experience HIPAA Health information management Medical terminology Full Job Description Company Overview Tri State Community Health Center is dedicated to providing comprehensive healthcare services to a diverse and vibrant community. As one of the leading behavioral health and co-occurring mental health disorder providers in the region, we pride ourselves on offering innovative programs and fostering an inclusive environment for both staff and patients. Job Overview We are seeking a detail-oriented and energetic Insurance Verifier to join our dynamic team. In this role, you will be responsible for verifying patient insurance coverage, ensuring accurate billing processes, and facilitating smooth communication between patients, providers, and insurance companies. Your expertise will help streamline operations and support our mission to deliver exceptional healthcare services. Duties Verify patient insurance coverage by reviewing policies, benefits, and eligibility through electronic health records (EHR) systems and direct communication with insurance providers Obtain prior authorization for procedures and treatments as required by insurance policies Ensure compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations to protect patient confidentiality Review medical records, coding (CPT, ICD-9, ICD-10), and documentation to confirm coverage eligibility Collaborate with medical office staff to facilitate accurate billing, coding, and claims submission Maintain detailed records of insurance verification activities within electronic health records (EHR) management systems Stay updated on changes in health insurance policies, managed care guidelines, and medical coding standards Skills Strong knowledge of HIPAA regulations and clinical confidentiality policies Proficiency in CPT coding, ICD-9, ICD-10, and ICD coding systems Experience with Microsoft Office applications for documentation and communication purposes Familiarity with managed care processes and insurance prior authorization procedures Previous medical office experience with electronic health records (EHR/EHR management) systems Excellent customer service skills with the ability to communicate effectively with patients and insurance representatives Knowledge of health insurance policies, medical terminology, medical billing, and medical records management Ability to navigate complex insurance verification processes efficiently while maintaining accuracy Join us to be part of a passionate team committed to delivering quality healthcare through meticulous verification processes that ensure our patients receive the coverage they deserve. Your attention to detail and proactive approach will make a meaningful difference in our community's well-being!
Pay:
$16.50 - $18.00 per hour
Benefits:
403(b) Dental insurance Disability insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance
Work Location:
In person