Insurance Verification Specialist

Job Title: Insurance Verification Specialist

Classification: Part Time/1099 Contractor

Work Structure: Fully Remote

Shift: Monday-Friday; 9a-5p (ET or CT)

Team: Clinical Operations

Reporting to: Program Manager

Location: United States

Compensation: $20-$21 per hour

About Us: 

One in three people die of heart disease - it's time to change that. We're redesigning heart health from the ground up so that everyone can live fuller lives. Our team consists of mission-driven clinicians, engineers, and professionals attacking a problem using evidence-based research and guidelines for cardiovascular rehabilitation. We’re working to deliver exercise and wellness for the older adult cardiovascular disease using telemedicine. We are dedicated to delivering exceptional services that enhance the lives of our patients.

Job Summary:

The Insurance Verification Specialist will review patient insurance information and verify in advance the treatments that their policies will cover. They then call insurance companies and send the proper documentation to verify authorizations for procedures which require them.

Essential Job Functions and Responsibilities:

• Enter data and validate patient information.
• Researches and corrects invalid or incorrect patient demographic information such as invalid insurance policy number to ensure proper billing.
• Determines member benefit coverage.
• Monitor and verify insurance information for individual patient visits and procedures.
• Communicate with patients about co-pays, benefits, coverage, and care authorization. 
• Contacts providers with authorization, denial, and appeals process information.
• Assists in educating and acts as a resource to scheduling department.
• Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
• Responds professionally to all inquiries from patients, staff, and payors in a timely manner.
• Accurately documents patient accounts of all actions taken

Qualifications: 

The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes:

• Strong work ethic and sound judgment
• Proven written and verbal communication skills
• Natural curiosity to pursue issues and increase expertise
• Demonstrated knowledge of insurances
• Two to four years related experience and/or training in insurance verification
• Two to four years of experience in medical billing
• Two to four years of experience in authorizations
• Knowledge of CPT and ICD10 codes.
• Excellent computer, multi-tasking and phone skills.
• The ability to work well under pressure (most of the paperwork is time
• sensitive).
• Must successfully pass a background check.

Additional Information

In accordance with HIPAA, this position must maintain the confidentiality of the patient in all circumstances as well as company confidentiality. Ensures the confidentiality of data collected and stored is maintained.

This description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills abilities, and working conditions may change as needs evolve.

*Note: This is a 1099 contractor position