Remote Insurance Verification Specialist - Patient-Focused

CCS Medical, Inc.; Houston, Northern (TX, KY); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive salary

Bonus opportunities

Medical, dental, and vision insurance

401(k) with company match

Paid time off

Ongoing training

Remote or hybrid work options

Wellness programs and mental health 지원

Job summary

CCS Medical, Inc. is seeking a Verification Representative to be at the heart of our call center, qualifying patients' insurance coverage and ensuring orders are accurate before shipment.

You will verify government and commercial coverage, resolve eligibility questions, and support timely billing while upholding HIPAA and privacy standards.

Join a patient-centric team that values reliability, confidentiality, and strong communication, with opportunities for remote or hybrid work where applicable.

Qualifications

• High School diploma
• One-year medical insurance verification related experience or equivalent combination of education and experience
• One year of customer service experience required
• Strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
• Ability to analyze and correct accounts receivable problems
• Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
• Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
• Position may require evening and weekend availability

Responsibilities

• Makes outbound calls to insurance companies to verify insurance benefits
• Evaluates insurance coverage in order to determine the policy’s compatibility with our program and recommends the appropriate products based on the patient’s needs and insurance coverage
• Efficiently and accurately verifies, reviews, documents and completes insurance verifications
• Identifies and initiatesdocumentation needs and requests to permit timely billing of services and communication with appropriate team(s)
• Reviews patient accounts and determines appropriate action(s) needed to collect payment
• Reviews claims and performs claim corrections and submissions to new carrier based on new plan verification
• Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
• Ability to analyze and correct accounts receivable problems
• Maintains a high degree of confidentiality always due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements

Skills

Customer service

Attention to detail

Communication skills

Problem solving

HIPAA compliance knowledge

Education

High School diploma

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

PowerPoint

Job description

CCS Medical, Inc. is seeking a Verification Representative to be at the heart of our call center, qualifying patients' insurance coverage and ensuring orders are accurate before shipment.

You will verify government and commercial coverage, resolve eligibility questions, and support timely billing while upholding HIPAA and privacy standards.

Join a patient-centric team that values reliability, confidentiality, and strong communication, with opportunities for remote or hybrid work where applicable.