Billing, Billing Software, Documentation, Electronic Medical Records, Health Insurance, High School Diploma, ICD-10, Insurance, Insurance Claims, Insurance Documentation, Medical Billing, Medical Coding, Medical Terminology, Microsoft Excel, Microsoft Office, Patient Care, Performance Management, Problem Solving Skills, Reconciliation, Record Keeping, Regulatory Requirements, Reimbursement, Resolve Customer Issues, Revenue Growth, Time Management
#IND123
Insurance Verification Specialist
Location: Tarpon Springs, 34689 – This position is onsite
Pay: $19.00 to $22.00 per hour
Type: Contract, (2) month project
Schedule:
Job description:
- Follow up on outstanding, unpaid, and underpaid insurance claims to ensure timely reimbursement, utilizing electronic billing systems, phone outreach, and written correspondence.
- Investigate and resolve claim denials, rejections, and payment discrepancies by analyzing EOBs, remittance advices, payer policies, and account documentation.
- Prepare and submit corrected claims, appeals, and supporting documentation to insurance carriers in accordance with payer requirements and regulatory guidelines.
- Maintain accurate records of claim activity, payment status, and collection efforts within billing software and EMR systems to support compliance and audit readiness.
- Collaborate with insurance representatives, patients, coding, billing, and patient services teams to resolve complex account issues and maximize revenue cycle performance.
Nice to have:
- Solid knowledge of coinsurance
Requirements:
- Must understand medical insurance including deductibles
- Must have experience with verifying Medicare, Medicaid, and major commercial health insurance and secondary payers
- Experience with referrals and prior authorization
- Medical terminology and ICD-10
- Must be MS Office proficient including Excel
- High school diploma or equivalent
- Background check required