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Medical Insurance Verification Specialist

Greater Orange County Ear, Nose, Throat - Head &...
Fullerton, CA Full Time
POSTED ON 10/30/2025 CLOSED ON 12/29/2025

What are the responsibilities and job description for the Medical Insurance Verification Specialist position at Greater Orange County Ear, Nose, Throat - Head &...?

Overview
We are seeking a detail-oriented and knowledgeable Insurance Verification Specialist to join our team. In this role, you will be responsible for verifying patient insurance coverage. The ideal candidate will have a strong understanding of verifying insurance on websites and by calling the healthplans, and experience in a medical office environment. Your expertise will play a crucial role in facilitating smooth operations and enhancing patient care.

Responsibilities

  • Conduct thorough insurance verification for patients prior to their appointments.
  • Review and interpret insurance policies/verifications to determine coverage eligibility.
  • Communicate effectively with insurance companies, healthcare providers, and patients regarding verification status.
  • Maintain accurate records of insurance verifications and updates in the medical records system.
  • Ensure compliance with HIPAA regulations while handling sensitive patient information.
  • Collaborate with medical coding staff to ensure proper coding of diagnoses (ICD-10 and ICD-9).
  • Provide support to the medical office team as needed, contributing to overall office efficiency.
  • Verify hearing aid benefits.
  • Verify surgery benefits.
  • Run and oversee patient statement mailings.
  • Other office duties assigned by the billing manager.

Requirements

  • Proficient knowledge of medical terminology and coding practices.
  • Experience working in a medical office setting is preferred.
  • Familiarity with ICD-10 and ICD-9 coding systems.
  • Strong understanding of HIPAA regulations and compliance standards.
  • Excellent organizational skills with attention to detail.
  • Ability to communicate effectively both verbally and in writing.
  • Previous experience in insurance verification or related roles.
  • Proficient computer skills, including experience with Epic, or other electronic health record (EHR) systems,

If you are passionate about healthcare administration and possess the necessary skills, we invite you to apply for this vital role within our organization. Join us in making a difference in patient care through effective insurance verification practices.

Job Type: Full-time

Pay: $22.15 - $23.12 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off

Work Location: In person

Salary : $22 - $23

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