Insurance Verification Specialist

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $15 - $26 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Logistics • Manufacturing • Healthcare

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

📋 Description

• Learn and maintain knowledge of current products and services offered by AdaptHealth • Review required documentation for accuracy • Verify patient insurance coverage, eligibility, co-insurances, deductibles, authorization requirements, and coverage limitations • Obtain pre-authorizations and process physician orders with insurance carriers • Answer inbound calls and make outbound calls to patients, referrals, and insurance companies • Obtain, analyze, and verify referral information • Create orders and schedule patients to receive ordered equipment • Educate patients about financial responsibility when applicable • Resolve coverage issues and escalate complicated issues to a Manager • Enter accurate patient demographic and insurance data into EMR databases • Navigate multiple online EMR systems and payer websites to obtain documentation • Communicate insurance trends to Customer Service and Management • Verify insurance carriers in the company database and request new carrier entries when needed • Contact patients when documentation does not meet payer guidelines and provide updates or additional options • Meet quality assurance requirements and key performance metrics • Facilitate resolution of customer complaints and problems • Use company-provided tools, including Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI, PECOS, and How-To documents

🎯 Requirements

• High School Diploma or equivalent • One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry • Senior level requires two (2) years of work-related experience and one (1) year of exact job experience • Proficient computer skills and knowledge of Microsoft Office • General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred • Excellent customer service skills • Analytical and problem-solving skills with attention to detail • Excellent verbal and written communication skills • Ability to prioritize and manage multiple tasks • Ability to learn new technologies and understand data flow through systems and system interaction • Ability to work independently and as part of a group • Ability to adapt and be flexible in a rapidly changing environment • Ability to work flexible hours of operation