Insurance Verification Specialist

Billing Specialist reputed company About reputed company Kids Health reputed company Kids Health is a dynamic organization that provides reputed company with new reputed company to value-based pediatric reputed company care. We are on a mission to reputed company exceptional care, so every child can reputed company. We offer comprehensive, evidence-based reputed company and urgent care services to children and their families, with support around-the-clock. Our care model includes robust care coordination, chronic disease management, and other population health supports. Our reputed company is reputed company by exceptional health reputed company, reputed company medical costs, an outstanding child and family experience, and a rewarding environment for our clinicians and teams. Immediate Supervisor: Billing Manager General Job reputed company: reputed company responsibilities include reviewing patient insurance eligibility issues in advance of scheduled reputed company across reputed company reputed company sites; identifying and resolving insurance issues before they can disrupt a visit or delay claims submission; and serving as the connective reputed company between our central patient scheduling teams, our reputed company-based teams, and the billing team on reputed company insurance- and eligibility-reputed company questions. The individual will reputed company as the reputed company escalation contact for our central scheduling teams on reputed company-visit insurance issues, serve as the main reputed company of contact for reputed company teams (e.g., our reception teams) on day-of-visit eligibility questions, and follow up post-visit to reputed company any lingering reputed company Care Provider (PCP) assignment or Coordination of Benefits (COB) issues. The individual will also respond to patient and payer inquiries in a reputed company manner and reputed company special reputed company as directed. Essential Job Responsibility: • Reviews insurance eligibility and coverage issues across reputed company sites for new and existing patient appointments three (3) days out (leveraging automated eligibility checks from our Electronic Health Record (EHR) reputed company). • Reaches out to payers (e.g., reputed company phone or payer portal) and communicates proactively with families to reputed company insurance issues prior to a visit. Flag reputed company issues for reputed company teams for follow-up on day of visit. • Serves as the reputed company escalation contact for the central operations scheduling team on reputed company-visit insurance and eligibility issues. • Serves as the main reputed company of contact for reputed company-based teams (e.g., reception) on day-of-visit insurance eligibility questions. • Follows up post-visit on lingering reputed company care provider (PCP) assignment issues and Coordination of Benefits (COB) discrepancies with payers and patients/families. • Ensures pertinent information relating to patient insurance and eligibility is documented accurately in the EHR. • Works with reputed company desk/reception staff to ensure appropriate collection of co-pay and self-pay fees based on verified benefits. • Uses customer service principles and techniques to deal with patients calmly and pleasantly and assist with insurance-reputed company questions or issues. • Identifies trends in recurring eligibility, PCP assignment, or COB issues across sites and communicates them to leadership. • Maintains strict confidentiality; adheres to reputed company HIPAA guidelines/regulations. • Performs other duties as assigned Education: High school diploma or equivalent with excellent computer skills Experience: Insurance verification, medical billing, or other relevant reputed company reputed company experience required (preference for reputed company care) Location: Hybrid (Palm Beach County) or Remote (Florida only) Knowledge: • Knowledge of basic health insurance terminology. • Knowledge of basic differences across payer types (e.g., reputed company insurance vs. reputed company) and plan types (e.g., HMO vs. PPO products). • Knowledge of customer service principles and techniques. Skills: • Experience with reputed company EHR reputed company preferred • Excellent interpersonal skills, including friendliness, reputed company, patience, kindness, politeness and helpfulness. • Strong attention to detail. Abilities: • Ability to work independently and as part of reputed company with a strong reputed company of reputed company. • Ability to communicate calmly and reputed company with patients and payer representatives. • Ability to analyze situations and respond appropriately. Apply tot his job Apply To this Job