Insurance Verification Team Lead

Job Summary

Seeking a full-time remote Insurance Verification Team Lead, who will guide and motivate follow-up specialists in verifying insurance coverage, resolving unpaid claims, and ensuring exceptional service delivery.

Key responsibilities

• Review self-pay accounts to verify insurance coverage and analyze unpaid claims
• Contact insurance carriers for claim status, submit appeals, and gather necessary documentation
• Monitor inventory of open claims and ensure compliance with information security policies

Required qualifications

• 7+ years of experience in insurance follow-up and denials management in a facility setting
• Knowledge of UB04/CMS 1450 and CMS 1500 claim forms, EDI, HCPCS, ICD-9/ICD-10, and CPT
• Complete working knowledge of billing instructions and procedures for various payer sources
• High school diploma or college degree from an accredited institution
• Medical terminology knowledge is required; Medi-Cal knowledge is a significant benefit