Medical Insurance Specialist

5 days ago


Tampa, Florida, United States Orthopaedic Solutions Management Full time
Job Title: Medical Insurance Specialist

About the Job:

We are seeking a skilled Medical Insurance Specialist to join our team at Orthopaedic Solutions Management. As a key member of our Patient Services department, you will be responsible for communicating with patients, staff, and physicians to ensure timely authorization and certification of surgical procedures.

Responsibilities:

  • Communicate with patients over the phone in a professional and customer service-oriented manner.
  • Verify benefit coverage, eligibility, and pre-authorizations for assigned surgical procedures.
  • Capture and verify medical necessity guidelines for each procedure.
  • Establish good working relationships with primary care physicians' offices, insurance carriers, and hospitals.
  • Maintain up-to-date knowledge of major insurance carriers' benefit verification and authorization processes.
  • Collect patient pre-surgery deposits and calculate financial responsibilities.

Requirements:

  • High school diploma required; 1 year experience in a medical environment with prior insurance verification and pre-authorizations experience.
  • Proficient in Microsoft Office applications (Outlook, Excel, Word).
  • Excellent verbal and written communication skills, critical thinking, and problem-solving abilities.

Benefits:

  • Full-time opportunities available with room for career growth and advancement.
  • Competitive salary range: $50,000 - $70,000 per year (estimated based on location and industry standards).
  • Excellent job security and stability promoting an optimal work-life balance.


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