Insurance Verification Specialist - Greenville, SC

AdamsPlace; Greenville (SC); On-site; USD 35,000 - 50,000; Full time

Job summary

AdamsPlace in Greenville is seeking an Insurance Verification Specialist to ensure timely verification of insurance eligibility and authorization for home health services. Key responsibilities include verifying benefits, obtaining necessary pre-certifications, and assisting with understanding plan limits and requirements.

The ideal candidate should possess a High School diploma, strong communication skills, and a minimum of one year of experience in insurance verification. The role requires attention to detail and the ability to work in a fast-paced environment.

Qualifications

• Minimum of 1 year experience in verification of insurance benefits, pre-certification – all payers.
• Ability to work in a fast-paced environment.
• Excellent attention to details.

Responsibilities

• Verify benefits for home health services using various websites.
• Obtain pre-certification for services via phone or provider portal.
• Assist local agencies with benefit levels and requirements.

Skills

Computer data entry skills

Communication skills

Organization skills

Education

High School diploma

Job description

Insurance Verification Specialist

NHC HomeCare Greenville is looking for an Insurance Verification Specialist to join our team. This position will be responsible for accurate and timely verification of insurance eligibility and authorization from Medicare, managed care, and commercial insurance.

Qualifications

• High School diploma
• Computer data entry skills
• Minimum of 1 year experience in verification of insurance benefits, pre-certification – all payers
• Excellent written and verbal communication skills
• Ability to work in a fast paced environment
• Excellent organization skills and ability to pay attention to details

Specific Responsibilities

• Verify benefits for home health services for all payer types, using a variety of websites and software applications.
• Obtain pre-certification for home health services, either via phone or provider portal.
• Understand benefit levels and assist local agencies with plan limits and requirements.
• Understand and comply with all applicable policies and procedures of NHC HomeCare.
• Performs other duties and responsibilities as required or assigned by Director of Managed Care.

EOE