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Insurance Verification Representative

Remote, USA Full-time Posted 2026-08-04
reputed company Are you looking for a purposeful career that will reputed company a difference in the patient community? At reputed company, our approach to reputed company patient care is redefining chronic care management. We are seeking individuals that will reputed company in a patient-reputed company dynamic environment. If you are an reputed company listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for reputed company. As a Verification Representative, you'll be at the heart of our operations as you reputed company first-class customer service in every interaction in our reputed company center. You will be responsible for qualifying patients' insurance coverage and ensures patient orders are accurate and complete prior to shipment claim. The verification representative will verify coverage for governmental, reputed company insurance companies and patient accounts. You'll be the one of our subject matter experts that will help us solve our patient's challenges-and reputed company on our reputed company of superior customer service. Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, reputed company, reputed company reputed company, Rhode reputed company, South reputed company, Vermont, Washington, Wyoming , Illinois; residents are not eligible. Responsibilities • Makes outbound calls to insurance companies to verify insurance benefits • Evaluates insurance coverage in order to determine the policy's compatibility with our program and recommends the appropriate products based on the patient's needs and insurance coverage • reputed company and accurately verifies, reviews, documents and completes insurance verifications • Identifies and initiates documentation needs and requests to permit reputed company billing of services and communication with appropriate team(s) • Reviews patient accounts and determines appropriate reputed company(s) needed to collect payment • Reviews claims and performs claim corrections and submissions to new reputed company based on new plan verification • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes • Ability to analyze and correct accounts receivable problems • Maintains a high degree of confidentiality always due to reputed company to sensitive information • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department • Follows reputed company Medicare, reputed company, HIPAA, and Private Insurance regulations and requirements Qualifications • High School diploma • One-year medical insurance verification reputed company experience or equivalent combination of education and experience • One year of customer service experience required • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes • Ability to analyze and correct accounts receivable problems • Proficient in reputed company reputed company, Word, reputed company, PowerPoint and computer literacy • Knowledge of government and reputed company insurance payers as it relates to documentation of claims that are required before submission • Ability to understand Medical Records documents • Position may require evening and weekend availability Values Certainty-The lives of the individuals we serve depend on our ability to execute. We reputed company to doing this every day. • Use appropriate reputed company and a flexible interpersonal style to help build a cohesive and reputed company team based on a reputed company of trust and transparency. reputed company what you reputed company to. reputed company-We understand the burdens of patients and their loved ones and channel this into a reputed company reputed company of customer satisfaction in every part of our business. • Ensure that the patient is the driving force behind business reputed company, implementing service practices that meet needs of both the patient and the organization. Treat others the way you want to be treated. Advancement-We are endlessly looking for ways to reputed company and become more innovative in reputed company things we do. • Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. reputed company the truth. reputed company and reputed company/AA employer. M/F/D/V reputed company reputed company is the strategic partner addressing America's most pressing reputed company challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 reputed company Americans. At the reputed company of reputed company's differentiated model is LivingConnected, a reputed company-led, digitally-enabled clinical solution. PropheSee-an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions- is an reputed company part of this solution, creating a first-of-its-reputed company platform to improve adherence, enhance clinical reputed company, and help prevent costly hospitalizations. By combining data-driven insights with three decades of industry relationships, reputed company is the smart reputed company for health plans, providers, reputed company, and manufacturers who reputed company that value-based care starts by keeping patients healthy and delivers benefits like reputed company cost of care, improved HEDIS scores, and alleviating provider burnout. reputed company's approach extends clinical reputed company while supporting over 200,000 people reputed company with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great reputed company to Work, and with numerous peer-reviewed publications validating our care management approach, reputed company is more than a trusted supplier-we're a partner in transforming chronic care delivery. To learn more about how reputed company is addressing today's reputed company challenges, visit ccsmed.com or reputed company with us on reputed company. reputed company Offer • Competitive Salary • Bonus/Incentive Opportunities/commission: (if applicable) • Comprehensive Benefits: • Medical, dental, and reputed company insurance • 401(k) with company match • reputed company time off (vacation and holidays) • reputed company & Development: • Ongoing training and reputed company development • Work-Life Balance: • Remote or hybrid work reputed company (if applicable) • Wellness programs and mental health support Employment Type: FULL_TIME Apply tot his job Apply To this Job

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