Health Insurance Benefits Verification Specialist

4 days ago


The Colony, Texas, United States CornerStone Staffing Full time
Job Title: Health Insurance Benefits Verification Rep

CornerStone Staffing is seeking a skilled Health Insurance Benefits Verification Rep to join our team in the Healthcare Industry.

The primary function of this role is to obtain benefit eligibility information, ensuring that the most up-to-date insurance verification is obtained. This position develops and maintains relationships with insurance carriers, patients, and healthcare providers to ensure seamless communication and accurate benefit verification.

Key Responsibilities:

  • Answering incoming customer service calls from medical insurance benefits providers and recipients regarding insurance coverage
  • Responsible for health insurance benefits verification for patients
  • Researching medical benefit eligibility information with insurance carriers
  • Acting as a liaison between patients, healthcare providers, and medical insurance carriers
  • Ensuring all patient questions are answered in a timely manner
  • Obtaining all medical provider referrals and authorizations for medical procedures and services, as required

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

We offer a competitive salary and a comprehensive benefits package, including medical insurance, dental insurance, and vision insurance.



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