Type: Full-time (Mon - Fri : 9am-6pm)
Midtown Medical Imaging, a leading provider of diagnostic imaging services, is seeking a dedicated and detail-oriented Medical Insurance Verification Specialist to join our team. The ideal candidate will have a strong background in medical insurance verification, excellent communication skills, and a commitment to providing outstanding patient care. If you are seeking a dynamic work environment that offers growth opportunities and the chance to make a difference in people's lives, we'd love to hear from you.
Responsibilities:
- Verify insurance eligibility, benefits, and coverage for all scheduled outpatient imaging services, including MRI, CT, Ultrasound, and X-ray exams.
- Obtain pre-authorizations, referrals, and pre-certifications for procedures as required by insurance carriers.
- Accurately enter patient demographics, insurance information, and authorization details into the electronic medical records (EMR) system.
- Collaborate with the scheduling department to ensure timely and accurate scheduling of patient appointments.
- Communicate effectively with patients, referring physicians, and insurance carriers to resolve any insurance-related issues.
- Assist patients in understanding their insurance benefits, co-pays, deductibles, and out-of-pocket expenses.
- Maintain a thorough understanding of insurance guidelines, billing practices, and regulatory requirements.
- Monitor and track pending authorizations, denials, and appeals, and work with the billing department to ensure proper claim submission.
- Participate in ongoing training and development opportunities to stay current with industry trends and best practices.
- Perform other related duties as assigned to support the efficient operation of the outpatient imaging center.
Requirements:
- High school diploma or equivalent; associate's or bachelor's degree in a healthcare-related field preferred.
- Preferably 2 years of experience in medical insurance verification, preferably in an outpatient imaging or healthcare setting.
- Knowledge of medical terminology, CPT, and ICD-10 codes.
- Familiarity with various insurance carriers and their policies, including Medicare, Medicaid, and commercial insurance plans.
- Strong computer skills, including proficiency in Microsoft Office and experience with electronic medical records (EMR) systems.
- Excellent verbal and written communication skills, with a strong focus on customer service.
- Ability to prioritize tasks, manage multiple deadlines, and work independently in a fast-paced environment.
- Detail-oriented with strong organizational and problem-solving skills.
- Ability to maintain patient confidentiality in accordance with HIPAA regulations.
Benefits:
- Competitive salary commensurate with experience.
- Comprehensive benefits package, including medical, dental, and vision insurance.
- Paid time off (PTO) and paid holidays.
- Retirement savings plan
- Professional development opportunities and ongoing training.
- Supportive and collaborative work environment.
Job Type: Full-time
Pay: $15.00 - $20.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Healthcare setting:
Medical specialties:
Schedule:
- Day shift
- Monday to Friday
Work Location: In person