Job Overview We are seeking a dynamic and detail-oriented Insurance Specialist and Receptionist to join our healthcare team! In this vital role, you will serve as the first point of contact for patients and visitors, providing exceptional customer service while managing insurance verification, prior authorizations, and medical records. Your expertise in health insurance policies, medical coding, and electronic health records (EHR) management will ensure smooth operations within our office. This position offers an exciting opportunity to combine administrative skills with healthcare knowledge to deliver outstanding patient experiences and support clinical workflows. Duties Greet patients and visitors warmly, ensuring a welcoming environment while efficiently managing check-in and check-out processes Verify insurance coverage using insurance portals and electronic systems, including managed care plans and health insurance policies Obtain insurance prior authorization for procedures and treatments, ensuring compliance with clinical confidentiality policies Assist with medical billing and coding using CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards to ensure accurate claims submission Maintain and update patient records within Electronic Health Records (EHR) systems, ensuring accuracy and confidentiality of medical records Collaborate with healthcare providers to facilitate insurance verification, claims processing, and resolution of billing issues Provide excellent customer service by answering patient inquiries related to insurance coverage, appointment scheduling, and medical records management Requirements Proven experience in a wellness office setting or healthcare environment with knowledge of medical terminology and clinical confidentiality policies Strong understanding of health insurance policies, managed care processes, insurance prior authorization procedures, and medical billing/coding practices Proficiency in Microsoft Office applications (Word, Excel) and Electronic Health Records (EHR/EMR) systems for documentation and record management Familiarity with HIPAA regulations to ensure patient privacy and data security at all times Ability to handle multiple tasks efficiently while maintaining attention to detail in a fast-paced environment Excellent communication skills to interact effectively with patients, providers, insurers, and team members Join us in delivering compassionate healthcare support! This role is essential in ensuring our patients receive timely care while navigating complex insurance processes. We value proactive individuals who thrive on making a difference through their administrative expertise combined with healthcare knowledge.
Pay:
$15.00 - $25.00 per hour
Benefits:
Employee discount Flexible schedule Wellness program