Benefits Verification Specialist

Job Overview:



Insight Global is currently seeking an experienced Benefits Verification Specialist, that can work remotely in a HIPPA compliant workspace. As a Benefits Verification Specialist you will primarily work to confirm benefits for our customers whose insurance benefits are deemed Out of Network. This will at times consist of performing deep dives into the insurance to ensure correct billing for our patients. Our work environment is fast paced, with a collaborative atmosphere.



Perform claims integrity by researching and identifying insurance information for the member

Verify patient/claimant information, the payer network, in- or out-of-network status, research any/all information to determine coverage levels- to include calling insurance providers or accounts when necessary

Calculate deductibles, out of pocket costs, and copays

Provide updates on any/all benefits investigations related to the member's financial responsibility (such as co-pays, co-insurance)

Perform order entry -- update records with complete patient and insurance information

Maintain confidentiality of patient data and medical records in compliance with HIPAA regulations

Comfortable and capable utilizing various communication tools including IM and video conferencing to enable virtual work collaboration

Deliver on challenging work objectives, including meeting daily, weekly and /or monthly productivity metrics

Produce high-quality, high-volume work by leveraging self-motivation and initiative in a remote work environment

Assist and cross train in other departments as business needs dictate and during critical times

2-3 years of experience working with medical insurance claims

Working experience with co-pays and deductibles

2-3 years experience with insurance benefits

Excellent communication and customer service skills with a focus on assisting patients in a healthcare environment

High school diploma required. Bachelor's Degree, or relevant experience in healthcare preferred