Insurance Verification Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• No salary listed.

Apply Now

Check your resume score

Customize resume + cover letter

Find Similar Remote Jobs

☆ Save☑️ Mark as applied❌ Hide

Report problem

SEES Management, LLC

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2017

💼 Consulting

🤝 B2B

Consulting • B2B

SEES Management, LLC is not described in the provided text. The available content appears to be generic LinkedIn page boilerplate and does not include information about SEES Management's services, sector, or clients. Based solely on the company name, it likely provides management or management-related services, but there is insufficient public information in the supplied text to determine a specific industry, product, or market focus. Additional company materials (website, filings, or a company profile) would be needed to assign more precise industry classifications.

📋 Description

• File insurance claims and manage patient accounts • Answer inquiries about account status and charges from ophthalmology surgery patients • Collect surgery patients’ insurance information • Communicate with patients to quote day-of-surgery costs • Post surgery charges and payments • Obtain prior authorization for procedures as needed • Document customer interactions in the appropriate computer system • Enter and submit professional and facility insurance claims • Process claims through practice management and EHR systems • Verify insurance eligibility, benefits, authorizations, coverage limits, and patient financial responsibility • Explain copays, deductibles, coinsurance, out-of-pocket expenses, and coverage determinations • Follow up on denied, rejected, unpaid, or underpaid claims and resubmit as needed • Post charges, insurance payments, patient payments, adjustments, and refunds • Submit secondary claims and manage coordination of benefits • Monitor and collect outstanding patient balances, including soft collection activities • Perform daily balancing procedures and maintain accurate financial records • Ensure compliance with HIPAA regulations and payer guidelines • Meet productivity, quality, and service standards • Collaborate with providers, patients, insurance carriers, and team members • Perform other duties and special projects as assigned

🎯 Requirements

• High School Diploma • Computer skills including experience with a Windows Operating System, e-mail, and data entry • Ability to look up ICD-10 diagnosis and CPT treatment codes from online service or traditional coding references • Prior experience with medical billing software • At least one year of insurance billing experience in a previous job • 2 years of experience in a medical office setting • Prior experience in an Optometry/Ophthalmology practice • Prior experience with Compulink software • Willingness to submit to a background check • Annual compliance training is required • Compliance with HIPAA, OSHA, and company policies is required • Ability to remain stationary for extended periods • Frequent use of hands, fingers, and computer equipment • Ability to communicate effectively with patients and team members • Ability to occasionally lift, carry, push, or pull up to 25 pounds

🏖️ Benefits

• Paid Training & Career Development • Growth & Advancement Opportunities • Supportive Team Environment • Competitive Benefits Package • Tuition Reimbursement Opportunities • Employee Eyewear Discounts • Referral Bonus Program • Medical, Dental & Vision Insurance • 401(k) • Paid Time Off & Holidays • Life & Disability Insurance • Tuition Reimbursement • Continuing Education Support • Certification Sponsorship • Referral Bonus Opportunities

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume