Healthcare Insurance Eligibility and Benefits Specialist-FT Remote

Responsibilities: The specialist is responsible for verifying patient insurance coverage, determining benefit eligibility, and obtaining necessary authorizations prior to services. They act as a liaison between patients, providers, and insurance carriers to ensure accurate reimbursement and reduce claim denials.

Requirements: Candidates must have a high school diploma and 1-3 years of experience in healthcare insurance verification or revenue cycle management. Proficiency with EHR systems, payer portals, and knowledge of Medicare/Medicaid is required.

Key skills: Insurance Verification, Benefits Investigation, Revenue Cycle Management, HIPAA Compliance, Patient Access, EHR Systems, Payer Portals, Medical Billing, Analytical Thinking, Problem Solving, Communication Skills, Attention To Detail, Customer Service, Microsoft Office, Claim Denial Prevention, Insurance Terminology

Keywords: Healthcare Insurance, Eligibility Verification, Benefits Investigation, Revenue Cycle, Medicare, Medicaid, Managed Care, Deductibles, Copayments, Coinsurance, Prior Authorizations, EHR, HIPAA, Payer Portals, Clearinghouses, Claim Denials, Patient Access, Medical Office Administration, Healthcare Administration, Medical Necessity