Insurance Specialist

Job Summary

Verifying insurance eligibility and benefits, the full-time Insurance Specialist I will ensure authorization requirements are met and complete pre-registration processes for outpatient and inpatient services in a remote environment.

Key responsibilities

• Verify insurance eligibility and benefits for scheduled and unscheduled services to ensure coverage and compliance with payor requirements
• Calculate and communicate the patient's estimated financial responsibility for scheduled services
• Educate patients on insurance coverage, benefits, and financial responsibilities while maintaining high standards of accuracy and professionalism

Required qualifications

• Education: H.S. Diploma or GED
• Experience: 0-1 years in insurance verification, medical billing, or healthcare revenue cycle
• Strong knowledge of insurance plans and authorization requirements
• Proficiency in Microsoft Office Suite and healthcare information systems
• Ability to work in a fast-paced environment and manage multiple priorities effectively