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Insurance Verification Specialist
Winning Assistants LLC. Perform accurate and timely insurance eligibility and benefits verification.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance eligibility and benefits verification, with a strong focus on accuracy, attention to detail, and effective communication with insurance representatives and healthcare staff. Proficient in navigating payer portals and maintaining organized documentation while adhering to compliance and privacy requirements.
Highest-signal resume keywords
Insurance Eligibility VerificationVeradigm ExperienceAttention To DetailVerbal And Written Communication SkillsMedical Billing Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationBenefits VerificationPayer Portal NavigationDocumentation ManagementMedical BillingRevenue Cycle ManagementPatient AccessData EntryCompliance AdherenceDiscrepancy Identification
Soft Skills
Professional CommunicationOrganizational SkillsProblem-Solving
Tools & Technologies
VeradigmInsurance Payer PortalsVideo Conferencing ToolsDocumentation Software
Certifications & Qualifications
NBI ClearanceLocal Police Clearance
Industry Keywords
Healthcare AdministrationInsurance CompaniesPatient Information PrivacyRevenue Cycle
About the role
Key responsibilities & impact- Perform accurate and timely insurance eligibility and benefits verification.
- Verify patient coverage, plan details, effective dates, copays, deductibles, coinsurance, and other relevant benefits.
- Review insurance information through payer portals, phone systems, and other verification channels.
- Handle real-time verification requests during practice hours and respond promptly to time-sensitive inquiries.
- Identify discrepancies, inactive coverage, or missing insurance information and communicate findings to the appropriate team.
- Document verification results accurately and maintain organized patient and insurance records.
- Communicate professionally with insurance representatives, healthcare staff, and other relevant parties.
- Follow established workflows, payer requirements, and internal procedures to ensure accuracy and compliance.
- Maintain confidentiality and handle patient information in accordance with applicable privacy requirements.
Requirements
What you’ll need- Has 1 year of prior experience in insurance verification or insurance eligibility and benefits verification.
- Hands-on experience with Veradigm is highly preferred.
- Experience working with insurance payer portals and/or insurance companies.
- Strong attention to detail and accuracy.
- Excellent verbal and written communication skills.
- Ability to navigate multiple systems and maintain organized documentation.
- Experience in medical billing, patient access, revenue cycle management, or healthcare administration is an advantage.
- Must speak and write English clearly and professionally.
- Must have relevant work experience.
- Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
- Must be available to attend video meetings with camera on when required.
- Reliable laptop or desktop computer.
- Stable high-speed internet connection (minimum 25 Mbps).
- Noise-canceling headset.
- Working webcam for virtual meetings.
- Quiet and professional work environment.
Benefits
Comp & perks- Dedicated HR & Contractor Support Team
- Premium VPN Access (Optional)
- HIPAA & Cybersecurity Training + Certification (Provided)
- Top 1% VA Performance Training
- Client-Approved U.S. Holidays
- Client-Approved Paid or Unpaid Time Off
- Access to Tools & Resources
- Optional Performance-Based Incentives