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Insurance Coverage Specialist

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 engage with patients to confirm their coverage details and provide insights into their benefits.


Key Responsibilities:
  • Assist medical billing personnel in their tasks
  • Monitor and manage physician referrals
  • Deliver pertinent information to billing teams
  • Adhere to state and federal compliance standards
  • Validate patient data, billing information, medical coding, and perform claims assessments
  • Contact insurance providers to secure pre-authorization for services
  • Guide patients in understanding their financial obligations
  • Notify clinical teams regarding claim denials
  • Respond to inquiries related to billing and insurance matters

The role requires frequent collaboration with healthcare professionals, claims processors, medical billing experts, and patients, necessitating strong customer service and analytical skills.


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

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