Insurance Verification Specialist Job Details Level Experienced Job Location Integrated RCM Services - Hainesport, NJ Position Type Full Time Education Level High School Salary Range $18.00 - $20.00 Hourly Travel Percentage None Job Shift Day Job Category Insurance The Insurance Verification /Self-Pay Representative for Legacy Treatment Services will verify insurance coverage and determine patient responsibility for self-pay accounts. Key duties include verifying patient eligibility, explaining financial obligations to patients, and collaborating with billing and other departments. This role also involves accurate data entry, managing insurance-related issues, and maintaining patient confidentiality in line with HIPAA regulations. Key Responsibilities: + Insurance verification: Contact insurance companies and use online portals to verify patient eligibility, benefits, and coverage for specific procedures. Also verifying if authorization is needed. + Financial responsibility: Calculate and communicate the patient's estimated out-of-pocket expenses before services are rendered. This includes determining co-pays, deductibles, and co-insurance. + Data entry and record maintenance: Accurately enter and update patient insurance and demographic information in the patient management or billing system. Add billing notes and messages in the system. + Patient communication: Answer patient questions about their insurance coverage and financial responsibilities. Inform clinical staff about any denials or issues. + Collaboration: Work with the billing department to ensure accurate and timely claims processing and with client access department for patients needing financial assistance. Hours: This full time position is a hybrid position working 2 days remotely and 3 days in the office. This position has the following benefits: + Remote work 2 days per week + 3.2 weeks of PTO in first year + Medical, vision, dental & life insurance benefits + 403(b) employee participation and employer match + 9 Agency-paid holidays + Tuition Reimbursement after 1 year Education/Experience/Skills Education/Experience/Skills: + Education:High School Diploma or equivalent + Experience: Prior experience in insurance verification, medical billing, or a similar field is often required. + Skills: Strong communication, problem-solving, and customer service skills are essential for interacting with patients and insurance providers. + Attention to detail: A high level of accuracy is needed for data entry and verifying complex policy details. + Medical terminology: Familiarity with medical terminology and insurance policies is crucial. + Computer proficiency: Proficiency in Microsoft Office and electronic medical records (EMR) systems is typically expected. + Compliance: Understanding of HIPAA and other privacy regulations is mandatory. Legacy Treatment Services is an Equal Opportunity Employer. #LTS456