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Administrative & Secretarial Health & Medical

Insurance Verification Specialist

$10/hr Starting at $500

I have extensive experience in customer service, resolving medical claim denials, and providing accurate benefits information in accordance with HIPPA guidelines.

Responsibilities:

  • Identify the reason for the denial of a claim and propose a solution if the claim was wrongly denied or advise the provider what was incorrectly denied.
  • Complete an insurance verification to determine patient eligibility, coverage, co-insurance, and deductibles.
  • Assist members in updating their insurance information when it expires or needs to be updated.
  • Provide assistance in resolving coverage issues and escalating complex matters.
  • Input accurate patient demographics and insurance information into the EMR database.
  • Obtain prior authorization if required by the insurer (including gathering medical records).
  • Verify that the insurance(s) is listed in the company's database system, and if it is not, request that it be added.
  • Review all required documentation for accuracy.
  • Maintain an extensive understanding of different types of payer coverage and insurance policies.

 

About

$10/hr Ongoing

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I have extensive experience in customer service, resolving medical claim denials, and providing accurate benefits information in accordance with HIPPA guidelines.

Responsibilities:

  • Identify the reason for the denial of a claim and propose a solution if the claim was wrongly denied or advise the provider what was incorrectly denied.
  • Complete an insurance verification to determine patient eligibility, coverage, co-insurance, and deductibles.
  • Assist members in updating their insurance information when it expires or needs to be updated.
  • Provide assistance in resolving coverage issues and escalating complex matters.
  • Input accurate patient demographics and insurance information into the EMR database.
  • Obtain prior authorization if required by the insurer (including gathering medical records).
  • Verify that the insurance(s) is listed in the company's database system, and if it is not, request that it be added.
  • Review all required documentation for accuracy.
  • Maintain an extensive understanding of different types of payer coverage and insurance policies.

 

Skills & Expertise

CPT CodingData EntryHealth InsuranceHealthcare ComplianceHIPAAICD CodingMedical Billing and CodingMedical Records Research

Related Work Collections

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