Hybrid Insurance Verification Specialist

Medical Consulting Group, LLC; Springfield, Northern (MO, KY); Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

Generous paid time off

Comprehensive health insurance

Retirement plan with company matching

Job summary

Medical Consulting Group, LLC is seeking a full-time Insurance Verification Specialist to support our Revenue Cycle Management Division. The role focuses on researching insurance benefits, obtaining authorizations when needed, and preparing accurate patient estimates before services are rendered.

You will verify eligibility, discuss financial responsibility, and collaborate with insurance carriers and healthcare teams to prevent billing issues.

Qualifications

• 2+ years of experience in medical insurance verification, patient access, scheduling, medical billing, or related revenue cycle role.
• Strong understanding of commercial insurance, Medicare, Medicaid, and managed care plans.
• Knowledge of insurance terminology including deductibles, copays, coinsurance, out-of-pocket maximums, prior authorizations, referrals, and benefit verification.
• Experience preparing patient estimates is preferred.

Responsibilities

• Verify insurance eligibility and review patient benefits for scheduled procedures.
• Research deductibles, coinsurance, copays, out-of-pocket maximums, and authorization requirements.
• Prepare patient estimates and discuss expected financial responsibility and payment options.
• Communicate with insurance carriers, provider offices, surgery centers, and teammates to clarify coverage or resolve discrepancies.

Skills

Attention to detail

Communication skills

Organization & time management

Research & problem solving

Tools

EHR systems

Payer portals

Practice management software

Job description

Medical Consulting Group, LLC is seeking a full-time Insurance Verification Specialist to support our Revenue Cycle Management Division. The role focuses on researching insurance benefits, obtaining authorizations when needed, and preparing accurate patient estimates before services are rendered.

You will verify eligibility, discuss financial responsibility, and collaborate with insurance carriers and healthcare teams to prevent billing issues.