Insurance Verification Specialist

Job not on LinkedIn

🕒 July 7

🏄 California – Remote

🏄 California – Remote

💵 $22 - $24 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 17%

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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VitalConnect

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏭 Manufacturing

🏥 Healthcare

📡 Telecommunications

Manufacturing • Healthcare • Telecommunications

VitalConnect is a healthcare technology company that specializes in remote patient monitoring solutions, particularly for cardiac health. Their flagship product, the VitalPatch RTM, enables real-time streaming of vital signs, allowing healthcare providers to monitor patients' conditions from the comfort of their homes. VitalConnect is especially relevant in the context of COVID-19, as their technologies facilitate the safe monitoring of patients while minimizing caregiver exposure. The company's innovative approach in telehealth has made it a key player in optimizing patient care.

📋 Description

• Coordinate all financial clearance activities, including pre-registration, patient demographic and insurance validation, insurance verification, referral authorization and precertification • Monitor registration, referral and prior authorization work queues and obtain required patient and payer-specific financial clearance elements • Navigate payer policies and obtain approvals for ordered services • Help clinicians and staff understand payer requirements for patient access • Provide hands-on support for financial clearance issues • Obtain insurance verification, authorizations and referrals using online databases, electronic correspondence, faxes and phone calls • Document referral and prior authorization information for scheduled services • Collaborate with practices, physicians, insurance carriers, patients and other stakeholders to secure and record referrals and authorizations • Generate or obtain missing referral and authorization information and record it in the practice management system • Contact physicians for referral and authorization numbers • Perform follow-up activities indicated by management reports • Resolve registration, insurance verification, referral and authorization issues • Escalate denied or financially uncleared accounts according to department policy • Process registration updates and accurately record demographic and insurance information • Reconcile registration and insurance information with carrier information • Validate insurance eligibility, plan, primary care physician, subscriber, employer and appointment information • Contact patients for clarification and follow-up using a customer-friendly approach • Refer self-pay, unresolved-insurance and financial-counseling cases to Patient Financial Counseling • Maintain confidentiality of financial and medical records and advise management of compliance issues • Escalate situations to the Supervisor when appropriate • Collaborate with revenue cycle staff and support continuous improvement initiatives • Meet productivity and quality expectations • Handle telephone calls promptly and route or resolve them appropriately • Communicate effectively and courteously with internal and external customers • Perform other related duties as assigned

🎯 Requirements

• High School Diploma or GED required • Associates degree or higher preferred • 1-3 years patient registration and/or Insurance experience desirable • At least one year of experience must be in a customer service role • General knowledge of healthcare terminology and CPT-ICD10 codes • Complete understanding of insurance • Demonstrated customer service skills, including appropriate judgment, independent thinking and creativity when resolving customer issues • Exceptional interpersonal skills • Effective written communication skills • Excellent verbal communication skills • Ability to work in a complex environment with varying points of view • Comfort with ambiguity, good decision-making and judgment capabilities, and attention to detail • Ability to maintain strict confidentiality of personal/health sensitive information • Ability to handle challenging situations and balance multiple priorities • Basic computer proficiency, including accessing, entering and interpreting computerized data/information • Proficiency in Microsoft Suite applications, specifically Excel, Word, Outlook and Zoom • Thorough knowledge of various sections within the work unit for assistance and back-up coverage • Deep understanding of Revenue Cycle processes and ability to meet and maintain productivity standards • Ability to maintain patient confidentiality and comply with HIPAA • Ability to work in the United States implied by Remote, CA location

🏖️ Benefits

• Medical insurance • Dental insurance • 401K retirement plan