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 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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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

• Monitor registration, referral and prior authorization work queues • Obtain and document patient and payer-specific financial clearance elements • Verify insurance and navigate payer policies to obtain authorizations, precertifications and referrals • Help clinicians and staff understand payer requirements • Use online databases, electronic correspondence, faxes and phone calls to obtain insurance verification and authorizations • Collaborate with practices, physicians, insurance carriers, patients and departments to secure required referrals and prior authorizations • Record referrals and authorizations in the practice management system • Contact physicians and patients for referral, authorization or registration information • Perform follow-up activities based on management reports • Resolve registration, insurance verification, referral and authorization issues • Escalate denied or financially uncleared accounts according to department policy • Process registration updates from paper forms, online forms, practice telephones and patient calls • Record and reconcile demographic and insurance information for primary, secondary and tertiary insurance • Validate insurance eligibility, plan, primary care physician, subscriber, employer and appointment information • Refer self-pay or unresolved insurance patients to Patient Financial Counseling • Maintain confidentiality and comply with healthcare collection laws, regulatory policies and HIPAA • Recognize situations requiring supervisor escalation • Collaborate with revenue cycle staff and support process improvement initiatives • Meet productivity and quality expectations • Handle calls according to scripting and customer service standards • Communicate 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 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 • Comfortable 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 computerized data/information and Microsoft Suite applications, specifically Excel, Word, Outlook and Zoom • Thorough knowledge of work unit sections to provide assistance and backup coverage • Deep understanding of Revenue Cycle processes and ability to meet productivity standards

🏖️ Benefits

• Medical insurance • Dental insurance • 401K retirement plan