Insurance Verification Specialist POST NUMBER: 447160
Job Summary:
We are seeking a detail-oriented and organized Insurance Verification Specialist to join our team. The ideal candidate will be responsible for verifying patient insurance coverage, ensuring accurate billing, and supporting the revenue cycle process. This role is essential for minimizing claim denials and optimizing reimbursement.
Key Responsibilities:
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Verify insurance benefits and eligibility for patients through online portals, phone calls, or payer systems.
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Accurately document coverage details including co-pays, deductibles, out-of-pocket limits, authorization requirements, and policy limitations.
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Communicate with insurance companies to resolve issues related to coverage or authorizations.
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Work closely with front desk staff, billing teams, and clinical personnel to ensure correct patient information and insurance details are captured.
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Obtain prior authorizations or referrals when necessary.
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Update patient records and verify demographic and insurance data in the system.
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Identify and escalate any discrepancies or concerns that may impact billing or patient care.
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Maintain up-to-date knowledge of insurance guidelines, payer policies, and regulatory requirements.
Qualifications:
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High school diploma or GED required; associate’s degree or certification in medical administration or billing preferred.
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1 years of experience in insurance verification, medical billing, or related healthcare administrative role.
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Strong knowledge of insurance carriers, medical terminology, and HIPAA compliance.
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Proficient in using electronic medical records (EMR) and insurance portals.
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Excellent attention to detail and organizational skills.
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Strong communication and problem-solving abilities.
Work Environment:
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Office, remote, or clinical setting depending on assignment.
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Standard business hours with potential for extended hours based on workload.
Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan.
Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
EEO Notice
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .
Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.
By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
Privacy Notice
Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.
- California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
- Virginia residents may access our state specific policies here.
- Residents of all other states may access our policies here.
- Canadian residents may access our policies in English here and in French here.
- Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:
- the individual’s skill sets, experience and training;
- licensure and certification requirements;
- office location and other geographic considerations;
- other business and organizational needs.
With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.