Ultimate Staffing
Insurance Verification Specialist
Ultimate Staffing, Raleigh, North Carolina, United States, 27601
Insurance Verification & Explanation of Benefits Specialist
Schedule: Monday - Friday
Pay Range: $17 - $21 per hour (DOE)
Requirements
High school diploma or equivalent
Minimum 1 year of experience in insurance verification or medical billing (preferred)
Knowledge of insurance plans, EOBs, and prior authorization processes
Strong attention to detail and accuracy
Excellent communication and customer service skills
Proficiency with EHR systems and Microsoft Office
Job Responsibilities
Verify patient insurance coverage and eligibility prior to appointments
Obtain and document prior authorizations as required by insurance carriers
Review and interpret Explanation of Benefits (EOB) statements
Communicate coverage details, co-pays, deductibles, and out-of-pocket costs to patients
Resolve insurance discrepancies and follow up on denied claims
Maintain accurate records in the practice management system
Collaborate with billing team and clinical staff to ensure smooth workflow
Handle patient inquiries regarding insurance and billing in a professional manner
Stay updated on insurance guidelines and compliance requirements
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.
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Pay Range: $17 - $21 per hour (DOE)
Requirements
High school diploma or equivalent
Minimum 1 year of experience in insurance verification or medical billing (preferred)
Knowledge of insurance plans, EOBs, and prior authorization processes
Strong attention to detail and accuracy
Excellent communication and customer service skills
Proficiency with EHR systems and Microsoft Office
Job Responsibilities
Verify patient insurance coverage and eligibility prior to appointments
Obtain and document prior authorizations as required by insurance carriers
Review and interpret Explanation of Benefits (EOB) statements
Communicate coverage details, co-pays, deductibles, and out-of-pocket costs to patients
Resolve insurance discrepancies and follow up on denied claims
Maintain accurate records in the practice management system
Collaborate with billing team and clinical staff to ensure smooth workflow
Handle patient inquiries regarding insurance and billing in a professional manner
Stay updated on insurance guidelines and compliance requirements
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.
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