Insurance Benefits Verification Specialist - Onsite

Vero Orthopaedics

Vero Beach (FL)

On-site

USD 25,000 - 39,000

Full time

2 days ago
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Benefits offered by this job

401(k) Retirement Plan
Life Insurance
Disability Insurance
Paid Time Off
Consistent Monday–Friday Schedule

Job summary

Vero Orthopaedics is seeking an Insurance Benefits Verification Specialist to join our onsite team in Vero Beach, FL. The role focuses on confirming patient insurance details, determining coverage, and documenting results to ensure timely access to care.

The ideal candidate will navigate payer portals, verify eligibility, and communicate outcomes to care teams, while maintaining accuracy and confidentiality in a busy orthopaedic practice.

Qualifications

  • Previous experience in insurance benefits verification, medical billing, patient access, or healthcare administration.
  • Familiarity with commercial insurance, Medicare, and Medicare Advantage plans.
  • Experience navigating payer websites and eligibility verification systems.
  • Understanding of healthcare terminology, insurance coverage, deductibles, copayments, and coinsurance.
  • High school diploma or equivalent required.
  • Strong computer skills, including Microsoft Outlook, Word, and Excel.

Responsibilities

  • Verify patient insurance eligibility, coverage, and benefits for medical services.
  • Contact insurance companies by phone or through online payer portals to obtain accurate benefit information.
  • Determine patient-specific coverage details, including deductibles, copayments, coinsurance, out-of-pocket costs, and coverage limitations.
  • Identify referral, prior authorization, and other insurance requirements.
  • Review and update insurance benefit information regularly to ensure accuracy.
  • Research insurance discrepancies and work to resolve coverage-related issues.
  • Accurately document verification results in the electronic medical record and other applicable systems.
  • Communicate important insurance information to appropriate departments to help prevent delays in patient care.
  • Maintain organized and accurate records while managing multiple verification requests.
  • Assist with additional revenue cycle projects and administrative responsibilities as assigned.

Skills

Microsoft Outlook
Microsoft Word
Microsoft Excel
Attention to detail
Organizational skills
Time management
Verbal and written communication
Problem-solving
Independence

Education

High school diploma or equivalent

Tools

Electronic Medical Records (EMR)

Job description

Insurance Benefits Verification Specialist - Onsite

General Full Time Legal Address, Vero, FL, US

3 days ago Requisition ID: 1235

Insurance Benefits Verification Specialist

Vero Orthopaedics is looking for a detail-oriented, dependable, and motivated Insurance Benefits Verification Specialist to join our team!

If you enjoy problem-solving, working with insurance companies, and helping patients navigate their healthcare coverage, this could be a great opportunity for you.

As experts in their fields, our specialists and orthopaedic doctors at Vero Orthopaedics apply their dedication and expertise to provide customized treatment plans focused on your needs and goals. We treat a broad range of orthopaedic and neurologic injuries and conditions and are proud to offer rehabilitative, diagnostic, and other services to keep you moving.

Since 1976, our doctors and specialized staff have been the region's experts in orthopaedic, neurologic, and rehabilitative care. With our commitment to serve the needs of each patient, we proudly offer both innovative and conservative treatments for compassionate, individualized care to members of our communities in Vero Beach, Sebastian, and the surrounding areas.

At Vero Orthopaedics, we know that our employees are our best assets when it comes to providing exceptional orthopaedic care for our patients. It is for this reason that we are dedicated to hiring the most qualified staff to uphold our standards of care.

About the Position

Our Insurance Benefits Verification Specialist plays an important role in helping patients access the medical services, treatments, and therapies they need.

In this position, you will work directly with insurance companies to verify patient coverage, determine benefits, identify potential coverage limitations, and accurately document insurance information.

We are looking for someone who is organized, resourceful, and comfortable navigating insurance requirements in a busy medical office environment.

What You'll Do

Verify patient insurance eligibility, coverage, and benefits for medical services, treatments, and therapies.

Contact insurance companies by phone or through online payer portals to obtain accurate benefit information.

Determine patient-specific coverage details, including deductibles, copayments, coinsurance, out-of-pocket costs, and coverage limitations.

Identify referral, prior authorization, and other insurance requirements.

Review and update insurance benefit information regularly to ensure accuracy.

Research insurance discrepancies and work to resolve coverage-related issues.

Accurately document verification results in the electronic medical record and other applicable systems.

Communicate important insurance information to appropriate departments to help prevent delays in patient care.

Maintain organized and accurate records while managing multiple verification requests.

Assist with additional revenue cycle projects and administrative responsibilities as assigned.

What We're Looking For

Preferred Experience:

Previous experience in insurance benefits verification, medical billing, patient access, or healthcare administration.

Familiarity with commercial insurance, Medicare, and Medicare Advantage plans.

Experience navigating insurance payer websites and eligibility verification systems.

Understanding of healthcare terminology, insurance coverage, deductibles, copayments, and coinsurance.

Qualifications & Skills:

High school diploma or equivalent required.

Strong computer skills, including Microsoft Outlook, Word, and Excel.

Excellent attention to detail and accuracy in data entry.

Strong organizational and time-management skills.

Ability to multitask and prioritize responsibilities in a fast-paced environment.

Effective verbal and written communication skills.

Strong problem-solving and analytical abilities.

Ability to work independently while contributing to a collaborative team.

Professionalism, dependability, and a commitment to maintaining patient confidentiality.

Medical insurance experience is preferred, but candidates with strong healthcare administrative or insurance customer service backgrounds are encouraged to apply.

We offer a comprehensive benefits package, including:

Competitive Pay

401(k) Retirement Plan

Life Insurance

Disability Insurance

Paid Time Off

Consistent Monday–Friday Schedule

Opportunity to work with an established healthcare organization serving the Treasure Coast since 1976

Job Type: Full-Time, On-Site

Reports To:Director of Revenue Cycle

Physical Requirements: Primarily seated position involving extended computer and telephone use.

Additional duties and responsibilities may be assigned based based on organizational needs.

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