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Medical Insurance Verifier

Remote, USA Full-time Posted 2025-04-19

About the position

The Medical Insurance Verifier plays a crucial role in ensuring that patients receive high-quality and efficient care by verifying insurance benefits and collecting necessary patient information prior to scheduled surgeries. This full-time position involves working under the supervision of the CBO Director or Business Office Manager, focusing on payment collection and reimbursement processes.

Responsibilities
?? Obtain insurance pre-certification and verification, and interview patients prior to surgery.
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?? Verify patient eligibility, authorizations, benefits, and claim information with insurance companies and third-party payers.
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?? Identify patient accounts based on PPO, HMO, or other Managed Care Organizations.
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?? Contact patients to provide updates on benefit verification information and financial responsibility.
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?? Update the patient communication module, AdvantX, with appropriate authorization and benefit information.
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?? Create financial arrangements with management when a patient is unable to complete payment.

Requirements
?? High School Diploma or GED.
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?? One year of college or courses in secretarial skills preferred.
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?? One or more years of working experience in a healthcare environment performing clerical duties, business office functions, or billing duties in a hospital or physician practice setting required.

Nice-to-haves

Benefits
?? 401(k) matching
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?? Adoption assistance
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?? Dental insurance
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?? Disability insurance
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?? Employee stock purchase plan
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?? Comprehensive medical coverage
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?? Flexible spending accounts
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?? Life and disability coverage
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?? Supplemental health protection plans
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?? Free counseling services
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?? Education assistance
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?? Paid time off and family leave

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