Insurance Verification Representative

Idealoption; Washington (District of Columbia); Remote; USD 125,000 - 150,000; Full time

Job summary

A leading healthcare provider is seeking an Insurance Verification Representative for a remote position. This key role involves verifying insurance coverage, performing patient registrations, and assisting with account management. Ideal candidates will have at least one year of experience in medical insurance verification and possess strong communication and problem-solving skills.

Benefits

Medical, vision, and dental insurance

Short-term and long-term disability options

Paid time off and paid holidays

Qualifications

• Minimum 1 year of experience in medical insurance verification.
• Knowledge of ICD 10, CPT and HCPCS codes and medical billing processes is preferred.
• 1 year of customer service experience required.

Responsibilities

• Performs patient registration and verifies insurance coverage.
• Enters patient data and notifies patients of insurance coverage issues.
• Assists in the scheduling of patient appointments and complies with HIPAA.

Skills

Interpersonal Skills

Communication Skills

Problem-Solving Skills

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

All Jobs > Insurance Verification Representative

Looking for a great REMOTE position as the next step in your career? This is an awesome opportunity for someone with at least one year of insurance verification experience to work from the comforts of home!

Location: WFH *Pacific Time Zone hours, see below*

*Washington state residents only

Compensation: $17.00 per hour

Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation’s leading provider of low-barrier evidence-based treatment for opioid use disorder. We are looking for an Insurance Verification Representative to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering from the devastating effects of substance use disorder.

We value our patients and our employees! We treat our employees like we would want to be treated ourselves: with respect and compassion. Below are some specifics on what Ideal Option offers and the role.

At Ideal Option, we offer our employees a competitive and comprehensive benefits program to recognize how important you are to the company. Current benefits include:

• Medical, vision, and dental

• Short-term and long-term disability options

• Employee Assistance and Life Assistance programs

• Paid time off and paid holidays

The Role:

As an Insurance Verification Representative, you play a key role in performing patient registration and pre-registration of scheduled accounts, verifies insurance coverage and benefit information within the billing department. Additional responsibilities include:

• Enters new patients and existing patient's data into the computer.

• Verifies patients' insurance, collects co-payment and provides receipt for patient.

• Obtains complete and accurate demographic and financial information from a variety of sources.

• Provides demographic information to insurance companies and calls physician's offices as needed for pre-certification.

• Notifies patients or family members of any insurance coverage issues that may result in coverage reductions.

• Notifies patients of co-payments, deductibles or deposits needed.

• Provides patients with estimated cost for services.

• Finalizes the appropriate data for accounts.

• Assists in account creation and scheduling of patient appointments.

• Assists patient or directing them to the correct person to help with charity care or payment plan information.

• Complies with all elements within HIPAA and the Privacy Act.

Our ideal candidate is:

Professional with strong interpersonal skills and effective communication skills, verbal and written. You maintain good work habits and good attendance. You also can work independently and have great problem-solving skills.

Requirements

Minimum Requirements to be considered:

•High School Diploma or GED.

•Proficiency with Microsoft Office Suite Internet.

•A knowledge of chemical dependency and its effects on individuals, families, and communities is preferred.

•At least 1 year of medical insurance verification experience.

•At least 1 year of customer service experience.

•General knowledge of ICD 10, CPT and HCPCS codes, and medical billing processes