Insurance Specialist, Verification of Benefits, full-time days

Beacon Health Options; South Bend (IN); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

403(b) Matching

Competitive PTO

Shift Differentials

EAP

Tuition and Certification Reimbursment

Clinical Ladder Program

Local & National Discounts

Job summary

Beacon Health System in Granger, IN is hiring a full-time Insurance Specialist for the Verification of Benefits department. The role involves reviewing patient records, educating patients about their insurance, and coordinating department activities to maintain accurate documentation.

You’ll work with physicians and staff to obtain prior authorizations and ensure medical necessity. Qualified candidates will have knowledge of medical terminology and coding guidelines, plus experience with

Qualifications

• Associate's degree or related healthcare field certification required.
• 1–2 years of department-specific work experience and/or insurance prior authorization and verification of benefits preferred.
• Must have computer experience and be able to maintain accurate insurance records.

Responsibilities

• Answer questions from patients, providers, and staff regarding insurance-related issues.
• Provide accurate documentation to insurance companies in a timely manner.
• Obtain prior authorizations for treatments, procedures, and medications in collaboration with physicians.
• Review insurance bulletins and updates to stay current on coding changes.
• Verify that treatments meet medical necessity based on provider diagnoses.
• Audit billing records to ensure proper documentation for reimbursement.
• Educate physicians and staff on documentation requirements and address issues promptly.
• Collaborate with Patient Accounts to follow up on insurance appeals and denied claims.
• Attend meetings to stay informed about insurance regulations and updates.
• Build relationships with insurance company representatives to facilitate issue resolution.

Skills

Medical terminology

Diagnosis coding

Procedure coding

Medicare guidelines

Medicaid guidelines

Education

Associate's degree in medical billing, medical coding, health informatics or related field

Tools

Electronic health records

Coding software

Databases

Healthcare technology systems

Job description

Insurance Specialist, Verification of Benefits, full-time days

Beacon Health System is hiring a full-time day shift Insurance Specialist positionfor our Verification of Benefits department at Beacon Health System in Granger, IN.

Be a Beacon. Make a Difference.

At Beacon Health System, you’re not just part of a team, you’re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.

We offer a wide variety of benefits for our employees, including:

• Medical, Dental, & Vision Insurance through Cigna
• Life Insurance
• 403(b) Matching Retirement Fund
• Competitive Paid Time Off (PTO)
• Shift Differentials
• Employee Assistance Program (EAP)
• Tuition and Certification Reimbursement
• Clinical Ladder Program
• Local and National Discounts

About Beacon Health System

Headquartered in South Bend, Indiana, as a not-for-profit, community-governed health system, Beacon Health System provides care to more than 4,000 patients each day in northern Indiana and southern Michigan.

What You’ll Do

As an Insurance Specialist, you'll report to the Director, Manager, or Supervisor and support the department by reviewing patient records using medical coding procedures. You will assist in educating patients regarding their insurance. You will coordinate daily administrative activities and patient support functions within the department while ensuring accurate and appropriate documentation is maintained. In addition, you will facilitate communication between patients, staff, and other stakeholders and serve as a resource for insurance-related questions and processes.

Insurance Specialist Job Responsibilities

• Answer patient, provider, and staff questions regarding insurance-related issues.
• Provide accurate documentation to insurance companies in a timely manner.
• Work closely with physicians and clinical staff to obtain prior authorizations for treatments, procedures, and medications.
• Review insurance bulletins and updates to stay current on coding changes.
• Verify that treatments meet medical necessity requirements based on diagnoses provided by healthcare providers.
• Refer questionable diagnosis or coding issues to the Manager, Director, or Clinic Coordinator for clarification.
• Audit billing records, as needed, to ensure appropriate documentation is in place for reimbursement.
• Educate physicians and staff on documentation requirements and communicate issues promptly to correct errors or omissions in the medical record.
• Collaborate with Patient Accounts to follow up on insurance appeals and denied claims.
• Attend regular meetings to stay informed of insurance regulations, requirements, and updates.
• Build and maintain professional relationships with insurance company representatives to facilitate issue resolution.
• Maintain proficiency in the use of online insurance portals and related resources.
• Process reports according to established schedules and as requested.
• Serve as the department's on-site insurance resource for physicians and staff.
• Act as a liaison between Patient Accounts, Medical Records, physicians, and department associates.
• Assist the Director, Manager, Supervisor, and Clinic Coordinator with staff education and training on coding updates and changes.
• Communicate effectively with patients, employers, and third-party payers by telephone and in writing.
• Verify that charges exported from the department accurately match those uploaded into hospital and physician billing systems.
• Perform other job-related duties and special projects as assigned.

What You Bring

As an Insurance Specialist, you'll bring knowledge of medical terminology, diagnosis and procedure coding, Medicare and Medicaid guidelines. Your analytical skills help you identify billing discrepancies, resolve insurance-related issues, and ensure accurate documentation.

You demonstrate strong communication and interpersonal skills when working with patients, guarantors, physicians, insurance representatives, and staff. You maintain professionalism and discretion when handling sensitive and confidential information and are able to effectively navigate challenging situations.

You are detail-oriented, organized, and proficient in using electronic health records, coding software, databases, and other healthcare technology systems. Your ability to balance accuracy, customer service, and problem-solving helps support efficient operations and a positive patient experience.

Required Qualifications

• Successful completion of an associate's degree majoring in medical billing, medical coding, health informatics, health information technology or a related healthcare field certification.
• A minimum of 1 to 2 years of department specific work experience and/or insurance prior authorization and verification of benefits is required.
• Must have computer experience and be able to keep accurate insurance records.