Insurance Verification Professional

4 days ago


Detroit, Michigan, United States HEARTS ENTERAL LLC Full time
Job Overview: Insurance Verification and Medical Billing Specialist

We are seeking a highly motivated and detail-oriented individual to join our team as an Insurance Verification and Medical Billing Specialist. As a remote worker, you will be responsible for verifying insurance benefits, completing insurance verification forms, and processing prior authorizations for patients receiving medical foods, enteral supplies, and DME products.

The ideal candidate will have a strong background in medical billing and insurance verification, with a minimum of three years of experience. Excellent communication skills, attention to detail, and the ability to work effectively with patients, insurance providers, and team members are essential for this position.

Responsibilities:

  • Verify insurance benefits and complete insurance verification forms.
  • Process prior authorizations and coordinate approvals.
  • Reverify insurance for existing patients due to annual plan changes.
  • Review and analyze medical records and patient information.
  • Resolve denials by communicating with insurance companies and patients.

Requirements:

  • Minimum of three years of experience in medical billing and insurance verification.
  • Familiarity with various payers and health plans, including deadlines and prior authorization.
  • Strong attention to detail and excellent communication skills.
  • Previous experience with an Electronic Medical Record (EMR) is a plus.

What We Offer:

  • Estimated salary: $50,000 - $65,000 per year.
  • Flexible scheduling with full-time and part-time options.
  • 1099 (W-9) contract with occasional supervision.
  • Equal opportunity employer dedicated to a policy of non-discrimination.

About Our Company:

Hearts Enteral DME is a leading provider of enteral nutrition formulas and medical foods for rare diseases and conditions. Our mission is to help fight the challenges of healthcare reimbursement for people who struggle with these conditions.



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