Insurance Verification Specialist

🕒 Junho 16

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The Hello Team

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2021

🏥 Saúde

🛡️ Seguros

📦 Logística

Healthcare • Insurance • Logistics

A Hello Team é uma fornecedora B2B de soluções estruturadas para contratação offshore e gerenciamento de força de trabalho. Eles recrutam, contratam e operam equipes dedicadas nearshore e offshore em mais de 30 países, oferecendo serviços de staff remoto, BPO, atendimento e construção de call centers com recrutamento local, supervisão operacional baseada nos EUA, treinamento e gestão de força de trabalho em tempo real. A empresa enfatiza responsabilidade, monitoramento de desempenho e alinhamento cultural para clientes nos setores de saúde, seguros, imobiliário, serviços profissionais e outros.

Descrição

• Verify insurance eligibility, benefits, and coverage. • Determine patient financial responsibility, including copays, deductibles, and coinsurance. • Obtain and manage prior authorizations, referrals, and pre-certifications. • Maintain accurate insurance documentation in EMR/EHR systems. • Communicate coverage details and financial obligations to patients and staff. • Resolve eligibility, authorization, and insurance-related issues. • Ensure HIPAA compliance and adherence to healthcare regulations. • Collaborate with clinical, scheduling, and billing teams to support accurate reimbursement. • Follow up with insurance carriers and maintain detailed verification records. • Perform other duties related to the position as assigned.

🎯 Requisitos

• Proficient level of English (written and spoken). • Excellent professional and communication skills, allowing for effective collaboration with clients, vendors, and teammates. • Strong organizational, time-management, and problem-solving skills. • Experience in healthcare insurance verification, medical billing, revenue cycle management, or a related healthcare administrative role. • Familiarity using EMR/EHR systems and insurance verification platforms. • Strong attention to detail and ability to manage multiple tasks in a fast-paced environment. • Ability to quickly learn new systems, software, and workflows. • Proficiency with Microsoft Office (Word, Excel, Outlook), and standard business tools (email, spreadsheets, document management). • Out-of-the-box thinker, highly adaptable, reliable, self-motivated, and confident approach. • Positive attitude and the ability to learn and adapt quickly. • Ability to understand and follow established processes accurately with minimal supervision. • Ability to work U.S. Eastern Time (New York) business hours and adapt to business needs. • Interested in long-term career opportunities. • Reliable computer (Windows 10 or newer), two monitors, and stable high-speed internet.

🏖️ Benefícios

• 100% remote work • Great work environment with potential for growth