Patient-Centric Insurance Verification Specialist

Optimus Health Care Inc.; Stratford (CT); On-site; USD 21,000 - 24,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Retirement benefits

Paid time off and holidays

Job summary

Optimus Health Care Inc. in Stratford, CT is seeking a Full Time Insurance Verification & Authorization Specialist to join our BH care team. The role ensures a complete and timely insurance and authorization flow, contacting insurers and walking patients through their benefits.

Flexibility to work at other Optimus locations is a plus. The position emphasizes verification of insurances for billing, coordination of benefits, and collaboration with Providers, Nurses, and Clinical Support staff to

Qualifications

• Experience: five years preferred, preferably in a health care setting.

Responsibilities

• Verify insurances to ensure billing of services.
• Review appointment schedules to identify insurance for verification, with particular insurance plans.
• Verify insurance coverage, copays and deductibles through employer, insurance carrier, and/or online verification including amounts met to date and any pre-authorization requirements.
• Verify coordination of benefits using the birthday rule if patient is a minor.
• Update patient notes in the system with pertinent insurance changes or concerns to ensure account history is available for departments.
• Assist the Practice Manager with related special projects, including billing participation in performance improvement initiatives.
• Refer entitlement cases to FCC as applicable.
• Communicate with patients regarding insurance coverage concerns and any information required by the carrier to process payment.
• Perform other related duties as required.

Skills

Insurance verification

Authorization processes

Billing support

Tools

EMR familiarity

Job description

Optimus Health Care Inc. in Stratford, CT is seeking a Full Time Insurance Verification & Authorization Specialist to join our BH care team. The role ensures a complete and timely insurance and authorization flow, contacting insurers and walking patients through their benefits.

Flexibility to work at other Optimus locations is a plus. The position emphasizes verification of insurances for billing, coordination of benefits, and collaboration with Providers, Nurses, and Clinical Support staff to