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Medical Insurance Verification Specialist

Rose Rock Ophthalmology
Oklahoma, OK Full Time
POSTED ON 4/25/2025
AVAILABLE BEFORE 6/25/2025

Job Overview
We are seeking a detail-oriented and knowledgeable Insurance Verification Specialist to join our team. This role is crucial in ensuring that all insurance claims are processed accurately and efficiently. The ideal candidate will have a strong understanding of medical terminology, coding systems, and insurance verification processes. You will work closely with healthcare providers, patients, and insurance companies to verify coverage and eligibility for services.

Duties

  • Conduct thorough insurance verification for patients prior to their appointments.
  • Review and interpret medical records to ensure accurate coding using ICD-10 and ICD-9.
  • Communicate with insurance companies to confirm patient eligibility and benefits.
  • Maintain compliance with HIPAA regulations while handling sensitive patient information.
  • Collaborate with other healthcare providers to resolve any discrepancies in insurance information.
  • Assist in the management of managed care contracts and ensure proper coding for reimbursement.
  • Document all interactions and maintain accurate records related to insurance verifications.
  • Provide support in training new staff on insurance verification processes as needed.

Requirements

  • Proven experience in insurance verification or a related field within a healthcare setting.
  • Strong knowledge of medical terminology, coding (ICD-10, ICD-9), and medical records management.
  • Familiarity with managed care systems and processes.
  • Excellent attention to detail with strong organizational skills.
  • Ability to work independently as well as part of a team in a fast-paced environment.
  • Proficient in using electronic health record (EHR) systems and other relevant software applications.
  • Strong communication skills, both written and verbal, to effectively interact with patients and insurance representatives.
  • A background in eyecare office operations is a plus but not required.
  • Willingness to perform other office tasks as assigned by supervisor
  • Desire to be a team player with a patient-centered approach

Join our dedicated team where your expertise will contribute significantly to our commitment to providing exceptional patient care through effective insurance management.

Job Type: Full-time

Pay: $17.50 - $20.00 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off

Work Location: In person

Salary : $18 - $20

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