Medical Insurance Verification Specialist

2 weeks ago


Atlanta, Georgia, United States CornerStone Staffing Full time

CornerStone Staffing is seeking a skilled professional to fill an exciting opportunity in the Medical Benefits Industry.

The Medical Insurance Verification Specialist is responsible for verifying patients' insurance benefits and eligibility, ensuring that all information is documented and communicated to healthcare providers.

This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.

Key Responsibilities:

  • Confirm patient insurance coverage and eligibility for medical services.
  • Obtain medical benefit information for insurance companies.
  • Document communication with insurance providers and patients.
  • Assist patients in understanding their benefits and possible out-of-pocket costs.

Requirements:

  • One year of healthcare or medical call center experience is required.
  • Benefit verification - Prior Authorization.
  • Medical collections.
  • Prefer healthcare work experience and familiarity with medical benefits, medical insurance, prescriptions.
  • Knowledge of HIPAA regulations.
  • Co-pay, co-insurance, deductible.
  • PAP - patient assistance programs.

Education:

Verifiable high school diploma or equivalent.



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