Insurance Verification Specialist

Triton Medical Solutions; Tempe (AZ); Remote; USD 40,000 - 60,000; Full time

Job summary

A medical billing company in Tempe, Arizona, is seeking a Remote Insurance Verification Specialist for 20-35 hours per week. This essential role requires the verification of insurance benefits, ensuring confidentiality, and maintaining accurate documentation. Ideal candidates should have prior experience in medical billing and possess excellent communication skills.

Benefits

Flexible schedule

Qualifications

• General knowledge of medical insurance terminology.
• Experience with verifying benefits and pre-authorizations.
• Attention to detail and ability to manage priorities.

Responsibilities

• Verify patients' medical plan benefits and requirements.
• Handle communications with internal team members and insurance companies.
• Obtain and review prior authorization and document approvals.

Skills

Attention to accuracy

Excellent communication

Interpersonal skills

Organizational skills

Tools

Microsoft Office

Certified medical billing software

Job description

Join to apply for the Insurance Verification Specialist role at Triton Medical Solutions

Join to apply for the Insurance Verification Specialist role at Triton Medical Solutions

Job Summary

Medical billing company located in Tempe, Arizona is seeking a Remote/Work from Home Insurance Verification Specialist for 20-35 hours per week. This position is a 1099 position. As a critical member of our team, demeanor, and confidentiality is a crucial aspect of this position. This person will be an important member of our team and must be willing to perform a specific set of skills.

Benefits:

• Flexible schedule
  
  
  

Job Summary

Medical billing company located in Tempe, Arizona is seeking a Remote/Work from Home Insurance Verification Specialist for 20-35 hours per week. This position is a 1099 position. As a critical member of our team, demeanor, and confidentiality is a crucial aspect of this position. This person will be an important member of our team and must be willing to perform a specific set of skills.

We are looking for a fun, positive person who is detail oriented and can multi-task with great energy. Previous medical billing experience and experience with a certified medical billing software is required.

Essential Functions:

• Verify patients medical plan benefits and requirements according to their specific medical policy, to ensure necessary procedures are covered by an individual’s provider and maximum payment for services rendered.
• Handle incoming and outgoing communications from internal team members, insurance payers, and customers related to insurance benefits.
• Identify important patient and demographic information that are missing and update information to avoid claim processing issues with the insurer.
• Determine if prior authorization and/or gap exception is required for ordered services.
• Ensures appropriate clinical documentation is available and complete before submitting the prior authorization and/or gap exception.
• Send clinical documentation to the insurance company for review and approval.
• Follow up with insurance companies to ensure documentation has been received and prior authorization and/or gap exception is in process.
• Obtain and review prior authorization and/or gap exception approval and upload approval documentation to the patient’s chart.
• Communicate to our providers that the approval is complete through a ticket application.
• Ensure security and confidentiality of data and office technology.
• This is a work from home/remote position as an Independent Contractor.
  
  
  

Qualifications:

• General knowledge of insurance cards, medical insurance terminology, medical benefits, and CPT and ICD 9/10 coding required.
• Microsoft Office experience required.
• Previous experience with a medical billing company in verifying benefits and/or pre-authorizations.
• Previous experience with certified medical billing software.
• Excellent communication and interpersonal skills.
• Attention to accuracy and detail in all aspects of responsibilities.
• The ability to manage priorities and focus on completing tasks efficiently and within time frames.
• Experience performing research utilizing the Internet.
• Excellent organizational skills.
• Updated computer system including but not limited to high-speed internet, Microsoft 360, 2 or more monitors, and willingness to have your computer system encrypted to maintain HIPPA compliance.
  
  
  

This is a remote position.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Consumer Services

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