Insurance Verification Specialist: Health Data & Claims

Winston Medical Staffing; Virginia (MN); On-site; USD 45,000 - 65,000; Full time

Job summary

Winston Medical Staffing is seeking an Insurance Verification Representative to obtain and update patient insurance data in client host systems. You will use payer portals to retrieve current coverage and verify against scanned insurance cards.

You will work in a team environment, maintain daily productivity and quality standards, and ensure HIPAA compliance while handling PHI. Strong communication, organization, and attention to detail are essential.

Qualifications

• Knowledge of insurance verification processes.
• Experience with major practice management software (GE Centricity, EPIC PB, Cerner, Allscripts).
• Familiar with payer websites incl. eviCore, Navinet and Novitasphere.
• Ability to work well individually and in a team environment.
• Strong organizational and task prioritization skills.
• Proficiency with MS Office; basic Excel skillset.
• Strong communication skills, both oral and written.
• Strong organizational skills.

Responsibilities

• Utilize payer web portals to obtain and update insurance information in the client system.
• Verify insurance information against patient's insurance cards scanned in client system and ensure the correct and most up to date information is on the patient's account.
• Once updates are entered in client system, follow procedure on filing the claims.
• Comment all actions taken in internal and client host system
• Work independently from assigned work queues
• Meets and maintains daily productivity/quality standards established in departmental policies
• Adheres to the policies and procedures established for the client/team
• Communicate effectively with leadership
• Maintain a professional attitude
• Other duties as assigned by the management team
• Use, protect and disclose patients' protected health information (PHI) only in accordance with HIPAA standards

Skills

Insurance verification

MS Office & Excel

Communication skills

Teamwork

Attention to detail

Tools

GE Centricity

EPIC PB

Cerner

Allscripts

Job description

Winston Medical Staffing is seeking an Insurance Verification Representative to obtain and update patient insurance data in client host systems. You will use payer portals to retrieve current coverage and verify against scanned insurance cards.

You will work in a team environment, maintain daily productivity and quality standards, and ensure HIPAA compliance while handling PHI. Strong communication, organization, and attention to detail are essential.