Job Summary

A healthcare organization has an open position for a Remote Health Systems Insurance Verification Specialist in Anitoch.

Must be able to:

• Verify detailed insurance benefits, medical necessity, and authorization/referral guidelines
• Consistently prioritize and follow the established verification processes
• Communicate outstanding documentation requests, required account follow-up, and payor issues to the appropriate facility contacts

Qualifications for this position include:

• High School Diploma or Equivalent
• 1+ years of medical office, medical insurance company, or healthcare facility experience
• Knowledge of CPT, ICD-10, and medical terminology
• Ability to define problems, collect data, establish facts and draw valid conclusions
• Interprets an extensive variety of payer requirements
• Knowledge of host systems, ancillary applications, and payor web applications