Insurance Verification Specialist jobs in the United States

Insurance Verification Specialist is responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Being an Insurance Verification Specialist interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. May require a bachelor's degree in area of specialty. Additionally, Insurance Verification Specialist typically reports to a supervisor or manager. To be an Insurance Verification Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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REMOTE - Insurance Authorization Verification Specialist II (Rev Cycle)
  • Insurance Authorization Verification Specialist II (Rev Cycle) - UTHealth Houston Careers
  • Houston, TX FULL_TIME
  • What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

    This position is fully REMOTE!

    Must be located in Texas.

    Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:  

    • 100% paid medical premiums for our full-time employees  
    • Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year) 
    • The longer you stay, the more vacation you’ll accrue! 
    • Longevity Pay (Monthly payments after two years of service) 
    • Build your future with our awesome retirement/pension plan! 

    We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as... 

    • Free financial and legal counseling 
    • Free mental health counseling services 
    • Gym membership discounts and access to wellness programs 
    • Other employee discounts including entertainment, car rentals, cell phones, etc. 
    • Resources for child and elder care 
    • Plus many more! 

    Position Summary:

    Verifies insurance policy benefit information and obtains Authorization/ Precertification, prior to the patient’s visit or scheduled admission, or immediately following admission. Assist in identifying problems and ensures that the insurance is accurate on the patient account. Assures insurance information and appropriate referrals have been completely and accurately obtained.

     

    Position Key Accountabilities:

    1. Verifies insurance policy benefits for new and returning patients with carriers and employers.
    2. Assures all insurance information has been completely and accurately obtained. Documents all pertinent insurance information.  Documents information given or received to support actions taken on insurance charges or referral issues.
    3. Identifies special policy clauses or pre-existing conditions and verifies effective date of policies.
    4. Educates patients and families on insurance issues. Communicates patient’s fiscal responsibility in a professional manner.
    5. Notifies appropriate work units of patient’s insurance coverage, authorizations, or status.
    6. Identifies all patients without third party financial benefits and directs them for financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.
    7. Receives and reviews UT-H Health Science Center’ Managed Care contracts to understand the contract provisions.  Interprets managed care contracts for insurance coverage.
    8. Provides support to Revenue Cycle work units and other work units as assigned.
    9. Other duties as assigned. 

    Certification/Skills:

    Minimum Education:

    High school diploma or equivalent required; some college preferred.

    Minimum Experience:

    Three years of related experience required.

    Physical Requirements:

    Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

    Security Sensitive:

    This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

    Residency Requirement:

    Employees must permanently reside and work in the State of Texas.

  • Just Posted

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Verification Specialist
  • Application Verification
  • Pittsburgh, PA FULL_TIME
  • ProVerify is a Pittsburgh based full-service human resources support organization specializing in employment/background screening. The Verification Specialist position will be located at our corporate...
  • 5 Days Ago

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Verification Specialist
  • ProVerify powered by Application Verification
  • Hills, PA FULL_TIME
  • Please visit our website at www.applicatuonverification.com/careers for complete job description. Starting to pay is $19-$20 per hour depending on experience. Great benefits. Full-Time Monday through ...
  • 13 Days Ago

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Insurance Verification Specialist
  • EmpowerMe Wellness
  • St Louis, MO FULL_TIME
  • OverviewGrow your career! At EmpowerMe Wellness, you’ll find opportunities for promotion, continuing education, and great benefits, all while making a real difference in the life of seniors. Our resul...
  • 14 Days Ago

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Insurance Verification Specialist
  • Purple Cow Recruiting
  • Mound, IL FULL_TIME
  • DescriptionVerify patient’s insurance coverage with employer and/or insurance companies for benefits and obtains required authorization within designated timeframe. Applicants must pass a typing test ...
  • 14 Days Ago

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Medical Insurance Verification Specialist
  • Advantage Resourcing
  • Lafayette, LA FULL_TIME
  • Advantage Resourcing is seeking a dedicated Medical Insurance Verification Specialist to join our team in Lafayette, LA. Take the next step in your career with a leading healthcare company and embark ...
  • 15 Days Ago

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High Net Worth Insurance Producer Leader
  • Truist Financial Corporation
  • Mc Lean, VA
  • The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll ...
  • 6/24/2024 12:00:00 AM

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Insurance Verification Representative
  • Med-Metrix LLC
  • Arlington, VA
  • Job Type Full-time Description Job Purpose The Insurance Verification Representative is responsible for obtaining and pr...
  • 6/24/2024 12:00:00 AM

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Insurance Producer - Unvalidated
  • Truist Financial Corporation
  • Mc Lean, VA
  • The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll ...
  • 6/23/2024 12:00:00 AM

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Manager, New Business Underwriting
  • Ullico Inc.
  • Silver Spring, MD
  • Ullico Inc. is actively recruiting a Manager, New Business Underwriting within the Group Life and Health Department of U...
  • 6/23/2024 12:00:00 AM

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ADMIN/CLERICAL
  • Zing! Recruiting
  • Arlington, VA
  • Job Description Job Description Insurance Verification Representative We are seeking an experienced Insurance Verificati...
  • 6/22/2024 12:00:00 AM

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General Manager, Banking and Insurance Group
  • CARFAX
  • Centreville, VA
  • Description Join our Winning Team as General Manager, Banking and Insurance Group Isn't it time you bragged about where ...
  • 6/22/2024 12:00:00 AM

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Pre-authorization specialist
  • Randstad
  • Columbia, MD
  • Are you looking for the next steps in your Healthcare career? Take that first one by applying to be a Pre-Authorization ...
  • 6/20/2024 12:00:00 AM

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Life Claims Examiner
  • Ullico Inc.
  • Silver Spring, MD
  • Ullico Inc. is actively recruiting a Life Claims Examiner within the Group Life and Health Department of Union Labor Lif...
  • 6/20/2024 12:00:00 AM

Income Estimation for Insurance Verification Specialist jobs
$37,053 to $46,682

Career Path for Insurance Verification Specialist