Insurance Verification Expert
1 week ago
Job Title: Claims and Benefits Specialist
Job Description:This is a highly skilled role that involves verifying patient insurance coverage, benefits, and eligibility to ensure smooth billing and claims processing.
- Verify patient insurance eligibility, coverage, and benefits for Neurology and Allergy services.
- Accurately enter and update insurance information in NextGen EMR.
- Communicate with insurance companies to confirm benefits and resolve discrepancies.
- Work closely with providers, billing, and front-office staff to ensure claims accuracy.
- Assist in resolving prior authorization and referral requirements.
- Maintain compliance with HIPAA and payer-specific guidelines.
- At least 3 years of relevant experience in insurance verification.
- Background in Neurology and Allergy specialties preferred.
- Proficiency in NextGen software required.
- Strong understanding of healthcare insurance plans, coverage, and policies.
- Excellent attention to detail, organizational skills, and communication abilities.
- Ability to work independently in a fully remote environment.
This specialist will play a key role in ensuring accurate and timely insurance verification, effective communication with insurance companies, and adherence to industry guidelines.
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