Insurance Verification Specialist - Experience in US Companies (Remote)

Nirvana Staffing is seeking a skilled and experienced Insurance Verification Specialist to work

with our diverse clinic clients. In this role, you will play a crucial part in ensuring timely and

accurate insurance verification, authorization, and billing processes.

Responsibilities:

Insurance Verification:

Obtain accurate patient demographic and insurance information.

Verify eligibility and benefits for all insurance plans, including government

programs (Medicare, Medicaid) and commercial insurance.

Determine patient financial responsibility and communicate it effectively to

patients.

Authorization and Pre-certification:

Obtain necessary authorizations and pre-certifications for procedures and

services.

Track authorization expiration dates and re-authorize as needed.

Claims Submission:

Prepare and submit accurate and timely insurance claims.

Follow up on denied or rejected claims and appeal as necessary.

Patient Billing:

Generate patient bills and invoices.

Collect patient payments and resolve billing issues.

Data Entry and Record Keeping:

Maintain accurate and up-to-date patient records and insurance information.

Utilize electronic health records (EHR) and billing software to document patient

interactions and insurance details.

Qualifications:

4+ years of experience in US healthcare insurance verification and billing.

Strong understanding of medical terminology and coding (CPT, ICD-10).

Proficiency in using insurance verification software and electronic health records (EHR).

Insurance Verification Specialist (Remote)

Excellent organizational and time management skills.

Strong attention to detail and accuracy.

Excellent communication and interpersonal skills.

Ability to work independently and as part of a team.

Schedule: Monday to Friday, MST Time zone

40 hours a week