Insurance Verification - Maitland, FL

Advancedderm; Florida; On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Benefits packages

PTO and holidays

401K

Job summary

Advanced Dermatology and Cosmetic Surgery is seeking an Insurance Verification Specialist to verify patient insurance eligibility, determine financial responsibility, and obtain pre-authorizations. You will work with clinical and scheduling teams to ensure accurate coverage information prior to visits.

Ideal candidates have 1–2 years of verification experience, proficiency with EMR and practice management software, and strong attention to detail.

Qualifications

• High school diploma or equivalent; healthcare experience preferred.
• 1–2 years in insurance verification in a medical practice.
• Experience with EMR and practice management software.
• Strong attention to detail and ability to handle multiple tasks.

Responsibilities

• Verify patient insurance eligibility and benefits for visits and procedures.
• Determine patient financial responsibility including deductibles and copays.
• Identify services requiring referrals or pre-certification.
• Review payer policies and coverage guidelines.
• Contact carriers via portals or phone for benefit information.
• Document verification details and authorization information accurately.
• Communicate requirements to front office and scheduling staff.
• Resolve discrepancies and registration issues before appointments.
• Collaborate with scheduling, billing, and clinical teams for timely resolution.
• Maintain knowledge of commercial, Medicare, Medicaid, and managed care plans.
• Ensure HIPAA compliance and regulatory requirements.

Skills

Insurance eligibility verification

Payer requirements knowledge

Problem-solving

Time management

Documentation accuracy

Team collaboration

Education

High school diploma or equivalent

Tools

Electronic Medical Records

Practice management software

Job description

Join a workplace recognized by Newsweek as America's Greatest Workplaces for 2024. Advanced Dermatology and Cosmetic Surgery's mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services. We are currently seeking candidates who are focused, detailed, and resourceful to join our team as an Insurance Verification Specialist. We strive to create a career destination that feels more like family than work. You will be working with a team of professionals for a well-known, highly regarded dermatology practice who puts our patients above all else.

KEY RESPONSIBILITIES:

• Verify patient insurance eligibility and benefits for office visits, procedures, surgeries, pathology, and other dermatology services.


• Determine patient financial responsibility, including deductibles, copays, coinsurance, and out-of-pocket maximums.


• Identify services requiring referrals and/or pre-certification


• Review payer-specific medical policies and coverage guidelines.


• Contact insurance carriers via payer portals or by phone to obtain benefit and authorization information.


• Accurately document verification details and authorization information within the practice management


• Communicate insurance requirements, benefit information, and patient financial responsibility to front office and scheduling staff


• Resolve insurance discrepancies, eligibility issues, and registration errors prior to the patient's appointment.


• Collaborate with scheduling, billing, front office, and clinical teams to ensure timely resolution of insurance-related issues.


• Maintain knowledge of commercial, Medicare, Medicaid, and managed care insurance plans, as well as payer-specific policies.


• Ensure compliance with HIPAA and all applicable payer and regulatory requirements.

QUALIFICATIONS:

• High school diploma or equivalent required; medical office or healthcare administration experience preferred.


• Minimum of 1-2 years of insurance verification experience in a medical practice, preferably dermatology or another specialty.


• Experience with electronic medical records and practice management software.


• Strong attention to detail, organizational skills, and ability to manage multiple priorities.


• Excellent verbal and written communication skills.


• Proficient in Microsoft Office and insurance payer websites/portals.

KEY SKILLS:

• Insurance eligibility and benefits verification


• Knowledge of dermatology procedures and payer requirements


• Problem-solving and critical thinking


• Time management and organization


• Accuracy in documentation and data entry


• Ability to work independently and as part of a team

COMPENSATION AND BENEFITS (*Eligible for Full Time Employees):

• Benefits packages


• PTO/6 Paid Holidays/Floating Holiday/Vacation Time


• 401K

ADCS Clinics LLC participates in equal employment opportunities for all individuals and abides by EEOC and nondiscrimination provisions of all applicable federal, state, and local laws and regulations. All applicants must have authorization to work in the United States.