Insurance Verifications Specialist — Outpatient Care

Memorial Medical Center Las Cruces; Las Cruces (NM); In loco; USD 42.000 - 62.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive Benefits

Life & Disability Insurance

401(k) retirement plan

Education support

Well-being programs

Descrizione del lavoro

Memorial Medical Center Las Cruces is seeking an Insurance Specialist to verify insurance benefits and secure pre-certifications for outpatient procedures. The role involves extensive contact with payers, physicians, and scheduling teams to ensure timely, accurate patient coverage and clear liability estimates.

The ideal candidate has at least one year of pre-certification experience, strong critical thinking, and the ability to work under pressure in a multi-task environment.

Competenze

• Verifies and documents insurance benefits for outpatient procedures.
• Obtains pre-certifications and estimates patient liabilities.
• Notifies clinics when pre-certification is missing or late.
• Handles heavy phone and payer website communication.
• Maintains knowledge of outpatient imaging policies.

Mansioni

• Conduct insurance verification and pre-certification for outpatient procedures.
• Explain patient liability estimates.
• Communicate with physician offices and scheduling with insurance requirements.
• Provide registration functions as needed.

Conoscenze

Insurance verification

Pre-certification

Payer communications

Outpatient scheduling

Customer service

Formazione

High school diploma or equivalent

Two years of college or medical office education (preferred)

Strumenti

Payer websites

Insurance eligibility tools

Descrizione del lavoro

Memorial Medical Center Las Cruces is seeking an Insurance Specialist to verify insurance benefits and secure pre-certifications for outpatient procedures. The role involves extensive contact with payers, physicians, and scheduling teams to ensure timely, accurate patient coverage and clear liability estimates.

The ideal candidate has at least one year of pre-certification experience, strong critical thinking, and the ability to work under pressure in a multi-task environment.