Insurance Verification Specialist

The Insurance Verification Specialist at Prince William Surgery Center is responsible for verifying patient insurance coverage and benefits to ensure accurate billing and reimbursement for medical services. This role involves interacting with patients, insurance companies, and healthcare providers to gather and verify insurance information, resolve billing discrepancies, and ensure timely processing of claims.

Responsibilities:

• Verify patient insurance coverage and benefits prior to scheduled procedures or appointments.
• Obtain and update insurance information, including policy numbers, coverage limits, and pre-authorization requirements.
• Communicate with patients to explain insurance coverage, co-payments, deductibles, and any financial responsibilities.
• Coordinate with healthcare providers and billing staff to resolve insurance-related issues and billing discrepancies.
• Ensure accurate and complete documentation of insurance verification processes and outcomes.
• Follow up with insurance companies to track claim status, denials, and appeals as needed.
• Maintain confidentiality and adhere to HIPAA regulations when handling patient information.
• Collaborate with other administrative and clinical staff to facilitate a smooth and efficient patient experience.

Benefits:

• Competitive salary based on experience
• Comprehensive benefits package including medical, dental, and vision insurance
• Paid time off (vacation, sick leave, holidays)
• Retirement savings plan (401k) with employer match
• Opportunities for professional development and advancement within the organization

To apply for the Insurance Verification Specialist position at Prince William Surgery Center, please submit your resume today. We look forward to reviewing your application and considering you for this exciting opportunity to join our team.

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Required Skills

• High school diploma or equivalent required; additional education or certification in healthcare administration or medical billing preferred.
• Minimum of 2 years of experience in insurance verification in a healthcare or medical setting.
• Knowledge of insurance plans, billing codes (CPT, ICD-10), and medical terminology.
• Strong attention to detail and accuracy in data entry and record-keeping.
• Excellent communication and interpersonal skills for interacting with patients, insurance representatives, and healthcare professionals.
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
• Proficiency in using electronic health records (EHR) systems and Microsoft Office applications.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Required Experience

• High school diploma or equivalent required; additional education or certification in healthcare administration or medical billing preferred.
• Minimum of 2 years of experience in insurance verification in a healthcare or medical setting.
• Knowledge of insurance plans, billing codes (CPT, ICD-10), and medical terminology.
• Strong attention to detail and accuracy in data entry and record-keeping.
• Excellent communication and interpersonal skills for interacting with patients, insurance representatives, and healthcare professionals.
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
• Proficiency in using electronic health records (EHR) systems and Microsoft Office applications.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.