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Insurance Coverage Verification Expert

2 months ago

Hanover, Illinois, United States Saafe Behavioral Svcs. Full time
Job Overview

Saafe Behavioral Svcs. is in search of a dedicated Insurance Verification Specialist. This role is essential in ensuring that patients' insurance plans adequately cover necessary medical treatments. The specialist will also assist patients in understanding their coverage options and benefits.


Key Responsibilities:
  • Assist medical billing personnel
  • Monitor physician referrals
  • Provide essential information to billing teams
  • Adhere to state and federal regulatory standards
  • Verify patient data, billing information, medical coding, and perform claims assessments
  • Contact insurance providers to secure pre-authorization for services
  • Guide patients in comprehending their financial obligations
  • Notify clinical staff regarding claim denials
  • Respond to inquiries related to billing and insurance matters

Insurance verification specialists frequently collaborate with physicians, claims processors, medical billing staff, and patients, necessitating strong customer service and problem-solving abilities.


Qualifications:
  • High school diploma or equivalent
  • Familiarity with medical terminology, procedures, and diagnoses
  • Proficiency in computer systems and relevant software
  • Understanding of general administrative and clerical processes
  • Preferred knowledge of healthcare insurance

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