Insurance Verification Specialist

Extremity Care
Conshohocken, PA Full Time
POSTED ON 5/15/2024 CLOSED ON 6/27/2024

What are the responsibilities and job description for the Insurance Verification Specialist position at Extremity Care?

**This is an hybrid position in our Conshohocken office**


Purpose:

Reimbursement Specialists are primarily responsible for working with insurance companies and medical billing staff to manage the billing/reimbursement process. Specialize in tasks related to ensuring that the company is paid appropriately for their services. 


Duties & Responsibilities:

  • Verify eligibility and benefits using electronic database/clearinghouse and via telephone.
  • Review documentation for coding compliance and medical necessity.
  • Manages and coordinates all Insurance benefits to ensure patient responsibility.
  • Prepare insurance verification response to providers.
  • Telephone communication with payers to verify eligibility, benefits, prior authorization.
  • Experience with payer websites, electronic clearinghouses, Availity
  • Medical coding knowledge
  • Review records, coding, and billing practices to ensure compliance.
  • Initiate prior authorizations.
  • Communicate with providers and internal staff regarding insurance verifications and patient benefits.
  • Follow up on prior authorizations.
  • Assist with claim follow up, billing onboarding, and calls to providers to educate offices on billing for the products.


Skills & Abilities:

  • Ability to interpret medical benefits.
  • Must have attentive to detail, accuracy and must possess organizational skills.
  • Excellent communication and documentation skills required.
  • Ability to discuss patient benefits with providers, medical staff, and sales personnel.
  • Solid understanding of Medicare LCDs and commercial medical policies.
  • Knowledge of CPT, HCPCS, and ICD10 coding and medical terminology.
  • Proficient in Word, Excel, computer entry (required)
  • Medical Billing or Coding Certification (preferred)
  • Experience in medical billing, precertification, and insurance verification.


Education & Experience:

  • High School Diploma or Equivalent (required)
  • 2-3 years previous medical billing experience (required)


Salary : $22

Insurance Verification Rep - FT
Penn Medicine -
Philadelphia, PA
Insurance Verification Rep
VIRTUA -
Mount Laurel, NJ
Insurance Verification Rep - PMAH
Penn Medicine -
Cynwyd, PA

For Employer
Looking for Real-time Job Posting Salary Data?
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Insurance Verification Specialist?

Sign up to receive alerts about other jobs on the Insurance Verification Specialist career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$43,857 - $55,459
Income Estimation: 
$55,347 - $70,433
Income Estimation: 
$49,186 - $64,690
Income Estimation: 
$49,004 - $60,440
Income Estimation: 
$42,760 - $52,762
Income Estimation: 
$61,232 - $78,440
Income Estimation: 
$41,260 - $50,653
Income Estimation: 
$54,901 - $65,924
Income Estimation: 
$37,718 - $46,432
Income Estimation: 
$42,760 - $52,762
Income Estimation: 
$37,506 - $45,973
Income Estimation: 
$41,260 - $50,653
Income Estimation: 
$39,602 - $49,473

Sign up to receive alerts about other jobs with skills like those required for the Insurance Verification Specialist.

Click the checkbox next to the jobs that you are interested in.

  • Data Entry-Keyboarding Skill

    • Income Estimation: $39,421 - $52,726
    • Income Estimation: $41,744 - $53,210
  • HIPAA Compliance Skill

    • Income Estimation: $41,693 - $55,585
    • Income Estimation: $42,275 - $55,911
This job has expired.
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Extremity Care

Extremity Care
Hired Organization Address Salem, NC Full Time
Birth Tissue Recovery seeks a focused and detail-oriented individual to join our team at one of our sites in Greensboro,...
Extremity Care
Hired Organization Address San Antonio, TX Full Time
Purpose The Regulatory Affairs Manager is responsible for supporting and managing the regulatory affairs TigerBioscience...
Extremity Care
Hired Organization Address Conshohocken, PA Full Time
The Senior Payroll Specialist oversees the payroll process for our diverse workforce, ensuring full compliance with fede...
Extremity Care
Hired Organization Address Winston, NC Full Time
Birth Tissue Recovery seeks a focused and detail-oriented individual to join our team at one of our sites in Greensboro,...

Not the job you're looking for? Here are some other Insurance Verification Specialist jobs in the Conshohocken, PA area that may be a better fit.

Insurance Verification

Bista Technologies Inc., Philadelphia, PA

Verification Specialist

ICS Corporation, West Deptford, NJ