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Insurance Verification Specialist
Location
United States
Posted
128 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Insurance Verification Specialist
Tampa Family Health Centers
Role Description The Insurance Verification Specialist is responsible for verifying patient insurance coverage and benefits to ensure accurate billing and claims processing. This role involves interacting with patients, clinicians, and insurance companies to obtain and confirm necessary information. The specialist will also manage and update patient insurance information in the system, ensuring compliance with all relevant regulations. - Verify patient insurance coverage and benefits eligibility using the EPIC Real Time Eligibility module. - Interact with patients, healthcare providers, and insurance companies to obtain necessary information. - Coordinate with clinical staff and operations to ensure all required documentation for insurance verification is available. - Update insurance and patient information in the EPIC system as necessary. - Follow up on any issues related to insurance verification and claim submission. - Navigate insurance company websites and online tools to confirm details of coverage. - Resolve patient billing and insurance inquiries and disputes. - Communicate with patients regarding their insurance coverage and benefits including financial obligations. - Comply with all privacy and confidentiality rules and regulations. - Document in record of all interactions for reporting and audits. - Communicate with Revenue Cycle Management (RCM) Leadership to report trends, issues, and system optimization opportunities. Qualifications - High School Diploma or Equivalent. - EPIC Certification preferred but not required. - Minimum of 1 year of experience in insurance verification with FQHC experience preferred but not required. - Proven work experience as an Insurance Verification Specialist or similar role in healthcare setting. - Excellent understanding of insurance benefits and eligibility, medical terminology, and coding specific to Ins. Verification. - Proficiency in Real Time Eligibility and payer portal navigation. - Ability to work independently and manage time effectively to achieve daily productivity measures. - Excellent verbal and written communication skills. - High level of accuracy and attention to detail. Requirements - Frequently required to sit; occasionally required to stand and walk. - Frequently required to talk and/or communicate both expressively & receptively. - Occasionally required to lift and/or move up to 25 pounds. - Occasionally required to bend, twist, climb, and reach. - Moderate concentration/intensity, which includes prolonged mental effort with limited opportunity for breaks. - Normal memory, taking into consideration the amount and type of information. - Moderate level of complexity for decision making. - Must be able to handle normal levels of intensity. Work Environment - This position is 100% remote, with occasional in-office attendance as required. - May be exposed to infectious waste, diseases, conditions, etc., including viruses. - The noise level in the work environment is usually moderate to loud. - May work in open areas at times and exposed to various distractions. Organizational Competencies - Respectful and Courteous to Others: Employees refrain from disruptive and disrespectful behaviors that could be offensive to patients and employees, potentially creating a disruptive work environment. - Upholds Confidentiality of All Sensitive Data: Employees respect the rights of privacy of our patients and employees, including adhering to all HIPAA compliance regulations. - Values Cultural Differences: Employees are courteous and respectful in interactions with employees, patients, and our community. - Responsive: Employees respond quickly, graciously, and appropriately to employees and patients. - Clear and Effective Communication: Employees are personally accountable to foster positive and clear communication with all employees and patients. - Teamwork and Adaptability: Employees contribute positively to the Tampa Family Health Centers team and are committed to treating others with courtesy, honesty, and respect. Exhibits ability to handle and adapt to changing work environments or unexpected events. Ability to change methods approach to best fit situations.
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Branch is on a mission to make insurance more accessible, so more people can be covered. We innovate using data, tech, and automation to simplify insurance from start to finish—we eliminated inaccurate quotes in favor of real prices, created a better way to bundle, and cut unnecessary costs in the traditional insurance process. Then we pass those savings along to our members. Basically, we’re doing insurance the way it was meant to be. But we didn’t just create the insurance we’ve always wanted, we also created the company we’ve always wanted to work for. As we redefine insurance, we also want to redefine what it means to work in insurance. Find out for yourself. Branch has a preference for candidates in Ohio, but is open to candidates located in AZ, FL, GA, IL, IN, IA, KS, KY, MD, MI, MO, NV, NC, OH, PA, SC, SD, TN, TX, and WI. Applicants must be currently authorized to work in the United States on a full-time basis. We are unable to sponsor or take over sponsorship of an employment visa at this time. Branch is remote first, with most Branchers choosing to work from home. Our headquarters are located in Columbus, Ohio, where we come together from time to time to build relationships and connect with each other in real life. We also have office space in Columbia and Concordia, Missouri as well as Forreston, Illinois. Once a year, the entire company gathers for “BranchFest”, a highlight of the year for many Branchers. About the role Branch’s Associate Account Manager owns and grows Branch’s National Independent Agency, Aggregator, and Network partnerships by making informed decisions, holding partners accountable, and driving sustained increases in quote volume, policy production, and long-term profitability. 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Strong communicator and relationship builder, able to confidently influence partners and represent Branch with credibility and professionalism. Why join us at Branch? We’re all about getting back to getting each other’s back - that means Branchers, too. So we provide benefits that let you work and live to your fullest. Above-market salary - Branch is a data-driven company, so we do the math on salaries, too. If you get an offer from Branch, you can expect compensation that hits above the mark. Pay equity and transparency - Our pay isn’t just market-driven, it’s equitable. We let experience and performance drive your success, never your gender, race, orientation, or beliefs. Remote-first (with perks) - Work from where you’re most comfortable. We’ll take care of your work from home set-up and monthly internet. We also have a Columbus headquarters if you’d like to join us in an office. Flexible YouTime - We don’t just let you control your own time off. We actually encourage you to use it. After your first year at Branch, we’ll give you $1000 toward your next vacation. Employee stock options - You’re not just an employee. If you’re full-time, you’re also a part-owner. You’ll have stock options so you can invest in the company you’re helping to grow. Medical, vision, dental - Get all the coverage you need for a healthy, happy life. 401k and contribution matching - Invest in your future. Branch helps you get to retirement on time with a portion of your contributions matched each month. What to expect In light of recent hiring scams across the United States, here’s what the process will look like with Branch (so you know it’s us): Please apply to open positions directly through our site. If you don’t see it here, then it shouldn’t exist on another job board. If you’re ever unsure about the legitimacy of a Branch job posting found on another site, please check the listings here to verify. If you're selected to move onto the next phase of the hiring process, a member of our Branch talent team will reach out to you directly from the email domain @ourbranch.com to guide you through our process. The process will include a number of interviews, which will all happen either over the phone or on video calls. We will never ask for personal payment or require you to purchase equipment during our interview process. Always be sure to protect your personal information. Equal Employment Opportunity Employer At Branch, we are deeply committed to community. Branch is an Equal Employment Opportunity employer. All qualified applicants and/or employees will receive consideration for employment without regard to the individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law.



