Job Description

Job Description

Job Description

We are thrilled to announce a new Insurance Verification Specialist opportunity! PrideStaff, a nation-recognized staffing company, has been given the chance to assist a top employer. Are you currently working but looking to explore new Insurance Verification opportunities? Do you need a fresh start in your career? Apply directly to this posting for immediate consideration.

Company: PrideStaff
Location: Bensalem, PA
Job Type: Full-time
Shift: Dayshift 9am - 5pm M-F
Experience Level: Mid-level/Senior
Salary Range: $18 - $20/hr

Insurance Verification Specialist

This critical role involves meticulously verifying patient insurance benefits and eligibility to ensure accurate billing and patient financial understanding in a high-volume medical office environment .

Key Responsibilities:

1. Verify patient insurance coverage, benefits, and eligibility for scheduled appointments and procedures.
2. Obtain accurate demographic and insurance information from patients and/or referrals.
3. Communicate clearly with patients regarding their insurance benefits, co-pays, deductibles, and out-of-pocket expenses.
4. Obtain necessary pre-authorizations or referrals as required by insurance plans.
5. Document all verification details, communications, and authorization numbers accurately within the practice management system/EHR.
6. Identify and resolve insurance discrepancies or issues that may impact patient care or billing.
7. Collaborate effectively with front desk staff, billing, and clinical teams to ensure a smooth patient experience.

Qualifications & Skills:

1. High school diploma or equivalent (medical office or insurance verification experience preferred).
2. Proven experience in insurance verification for a medical practice, hospital, or billing company is highly desired.
3. Strong knowledge of various insurance carriers (e.g., commercial, Medicare, Medicaid, PPOs, HMOs) and their authorization processes.
4. Excellent attention to detail and accuracy in data entry and information gathering.
5. Ability to multitask and manage a high volume of verification requests efficiently.
6. Proficiency in using electronic health records (EHR) and practice management software.
7. Strong communication and interpersonal skills for interacting with patients, insurance companies, and staff.
8. Ability to read and interpret insurance explanation of benefits (EOBs) and fee schedules is a plus.
9. Professional, organized, and proactive approach to problem-solving.

Benefits of working with PrideStaff

• Medical, Rx, and Wellness Benefits
• Dental and Vision Plan Options
• Short-term Disability
• 401(k) Retirement Plan
• Holiday Pay

PrideStaff Company Overview

PrideStaff is dedicated to helping you succeed! Our team of consultants provides valuable employment market insights and resources to support you on your career journey. We have assisted tens of thousands of individuals in finding exceptional career growth opportunities over the years. At PrideStaff, we prioritize building relationships and advocating for you with1 our network of employers nationwide. Our recruiters are committed to guiding you with career tools and resources.

Job Tags

Full time, Temporary work, Work at office, Immediate start, Shift work, Day shift,

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