Outpatient Insurance Eligibility Specialist

Mt. Washington Pediatric Hospital; Baltimore (MD); On-site; USD 25,000 - 36,000; Full time

Job summary

Mt. Washington Pediatric Hospital in Baltimore, MD is seeking an on-site Insurance Verification Specialist to verify eligibility, benefits and coordinate approvals for outpatient services.

This role requires coordinating with families, insurance companies, and providers to ensure timely access to care, while communicating financial responsibilities clearly. The position emphasizes accurate data entry in EMR systems, knowledge of CPT/ICD-10 coding, and familiarity with Meditech.

Qualifications

• High School Diploma/Equivalent preferred.
• 3+ years of experience in the insurance or health care field required.
• Familiar with PC and essential office equipment including email, printer, scanner, copier, fax, and phone.
• Basic insurance and managed care structure knowledge required.
• General medical terminology, CPT and ICD-10 coding knowledge required.
• Familiar with hospital electronic medical records systems such as Meditech required.
• Effective verbal and written communication skills required.
• Ability to multi-task, prioritize and self-motivate daily.
• Ability to walk, sit, lift and stand for extended periods.

Responsibilities

• Verify insurance eligibility, benefits, pre-certifications, prior authorizations and referrals for outpatient services.
• Verify and obtain required approvals from insurance companies, PCPs and families.
• Document appointment details accurately in EMR and registration systems.
• Notify families of financial responsibilities prior to appointments.
• Establish payment arrangements and direct families to Financial Assistance when needed.
• Work to meet department goals while handling multiple tasks.

Skills

Insurance verification

Verbal communication

Multitasking

Medical terminology

Education

High School Diploma/Equivalent

Tools

Meditech

MS Office

Job description

Mt. Washington Pediatric Hospital in Baltimore, MD is seeking an on-site Insurance Verification Specialist to verify eligibility, benefits and coordinate approvals for outpatient services.

This role requires coordinating with families, insurance companies, and providers to ensure timely access to care, while communicating financial responsibilities clearly. The position emphasizes accurate data entry in EMR systems, knowledge of CPT/ICD-10 coding, and familiarity with Meditech.