Insurance Verification Specialist

🕒 August 26

🇺🇸 United States – Remote

💵 $45k - $60k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 26%

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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Blue Water Thinking

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

📦 Logistics

🛡️ Insurance

Healthcare • Logistics • Insurance

Blue Water Thinking is a Service Disabled Veteran Owned Small Business (SDVOSB) certified by the Department of Veterans Affairs. The company provides strategy, management, and technology solutions tailored for government agencies. Blue Water Thinking focuses on the healthcare sector, offering health program support, health analytics, and health assessments to improve outcomes for military personnel and veterans. Additionally, the company aids federal agencies in digital transformation, enabling them to harness data and technology to enhance services. Its management advisory services aim to enhance decision-making, transparency, and performance across government programs. Inspired by deep thinking and value innovation, Blue Water Thinking delivers agile, custom solutions to support fiscal stewardship in public sector initiatives.

📋 Description

• Perform insurance verification and related billing activities for the Department of Veterans Affairs. • Verify patient insurance coverage, eligibility, benefits, policy information, reimbursement requirements, pre-certification requirements, and effective coverage dates. • Complete standardized work assignments, including batched work, caseloads, and defined workflows. • Perform Medicare and commercial insurance reimbursable billing activities. • Identify billable cases and generate accurate, timely bills. • Validate claims, confirm patient eligibility, and refer questionable or inaccurate coding for review. • Review insurance and billing information for discrepancies, missing information, and reimbursement issues. • Follow established requirements for timeliness, objectives, priorities, and workload. • Determine the appropriateness and accuracy of claims data. • Communicate with internal staff and stakeholders to resolve billing, insurance, eligibility, and claim discrepancies. • Use office software applications and electronic systems to document, process, track, and manage verification and billing activities. • Maintain complete documentation under VA, VHA, contractual, and organizational requirements. • Protect sensitive patient and insurance information and follow privacy, security, and information-handling requirements.

🎯 Requirements

• High School Diploma or equivalent. • Two years of experience in insurance verification, medical billing, healthcare revenue cycle, patient financial services, claims processing, or a related healthcare administrative function. • Demonstrated experience verifying insurance eligibility, benefits, coverage dates, policy information, and authorization or pre-certification requirements. • Experience working with Medicare and/or commercial health insurance claims and reimbursement processes. • Proficiency with Microsoft Office applications, electronic databases, and other office or healthcare information systems. • Strong attention to detail with the ability to accurately review claims, insurance information, and billing documentation while meeting established deadlines. • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. • Must be able to obtain and maintain the required federal public trust clearance for this role. • Resume must be submitted in word document format and must include dates in each section (experience, education, certifications...). • Candidates must fill out the below form to the best of their knowledge.

🏖️ Benefits

• Health insurance (medical, dental and vision) • Paid time off • Federal holidays • Matching 401K plan