Insurance Verification Specialist - Medical Office

Lancaster, CA

Part-time

11 days ago

Job Description

Job Summary

Responsible for verifying patients’ medical insurance eligibility and benefits before appointments and medical procedures. Ensures insurance coverage is active, confirms patient benefits, and communicates coverage details to patients and medical office staff.

Key Responsibilities

Verify patients’ insurance eligibility and coverage using insurance company websites, online portals, and phone calls.
Confirm active insurance policies, effective dates, copayments, deductibles, coinsurance, and out-of-pocket expenses.
Review insurance benefits and determine whether referrals or prior authorizations are required.
Obtain and verify insurance information before scheduled appointments.
Contact insurance companies to resolve eligibility issues, coverage discrepancies, and inactive policies.
Update patient insurance information in the electronic medical records (EMR/EHR) system.
Communicate insurance coverage and estimated patient financial responsibility to patients and front office staff.
Coordinate with billing, scheduling, and clinical teams to ensure accurate insurance information.
Maintain patient confidentiality and comply with HIPAA regulations.
Document all insurance verification activities accurately.

Qualifications

High school diploma or equivalent.
Experience in a medical office, insurance verification, patient registration, or medical billing preferred.
Knowledge of medical insurance plans, including HMO, PPO, Medicare, and Medicaid.
Strong communication, organizational, and computer skills.
Ability to use insurance portals and electronic health record systems.
Attention to detail and ability to handle multiple tasks in a fast-paced medical environment.

Numbers & Facts

Location	Lancaster, CA
Job Type	Part-time

Skills

Billingunmatched
Calendar Managementunmatched
Co-Paymentsunmatched
Communication Skillsunmatched
Computer Skillsunmatched
Data Qualityunmatched
Detail Orientedunmatched
Electronic Medical Recordsunmatched
Financial Managementunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Health Insuranceunmatched
Health Maintenance Organization (HMO)unmatched
High School Diplomaunmatched
Insuranceunmatched
Insurance Documentationunmatched
Medicaidunmatched
Medical Billingunmatched
Medical Officeunmatched
Medical Record Systemunmatched
Medical Recordsunmatched
Medical Treatmentunmatched
Medicareunmatched
Multitaskingunmatched
Organizational Skillsunmatched
Patient Confidentialityunmatched
Patient Registrationunmatched
Preferred Provider Organization (PPO)unmatched
Regulationsunmatched

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