Insurance Specialist

Job not on LinkedIn

November 20

⚜️ Louisiana – Remote

Although this job is listed in Louisiana, this company may be open to hiring remote in other states.

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

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MedCentris

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B2B

MedCentris is a specialized healthcare provider focused on advanced chronic wound management and “Wound Medicine. ” The organization operates wound clinics across settings — including nursing homes, private offices, hospital-based clinics, home-care programs, and telewound services — and employs certified wound specialists to deliver individualized diagnosis, pain control, nutrition-focused care, and innovative treatments. MedCentris also partners with hospitals, physician practices, home health and hospice agencies to provide clinical and operational wound-care solutions and education.

201 - 500 employees

Founded 2009

🤝 B2B

📋 Description

• Verify patient insurance coverage and benefits for all incoming appointments or service encounters. • Confirm eligibility and determine payer-specific requirements for authorizations, referrals, and coverage limitations. • Accurately enter and update insurance and benefit information in the electronic health record (EHR) or billing system. • Identify and escalate coverage issues, gaps, or changes to appropriate internal teams. • Collaborate with Authorization Specialists to ensure all required approvals are obtained before service delivery. • Serve as a resource for staff regarding payer rules, coverage criteria, and benefit interpretation. • Maintain payer contact logs and documentation of verification efforts for audit readiness. • Work with business office staff to resolve claim rejections or denials related to insurance coverage. • Respond promptly and professionally to patients, staff, and payer inquiries regarding insurance details. • Perform related clerical duties such as scanning, faxing, and uploading documentation as needed.

🎯 Requirements

• High school diploma or equivalent required; associate degree in healthcare administration or related field preferred. • Minimum of 1–2 years of experience in healthcare intake, admissions, or a related administrative role. • Knowledge of insurance eligibility verification and basic authorization processes. • Strong data entry skills with high accuracy and attention to detail. • Excellent communication and interpersonal skills to work effectively with patients, providers, and internal teams. • Proficient in Microsoft Office applications and EHR systems. • Ability to manage multiple tasks in a fast-paced environment while meeting deadlines. • Commitment to maintaining confidentiality and compliance with HIPAA regulations.

🏖️ Benefits

• Maintain confidentiality of patient information in compliance with HIPAA and company policies.