Insurance Verification Specialist

Client: University of Maryland Medical System (UMMS)
Position: Insurance Verification Specialist
Location: Mount Washington Pediatric Hospital: 1708 W Rogers Avenue, Baltimore, MD, 21209
Duration: Perm - 20%

Pay Rate: $19.00 - $22.71/hr
Candidates with 4-5 years of experience will be considered for the higher end of the range

Shift:
Schedule: Monday Friday, flexible start between 7:30 AM - 8:00 AM, end between 4:30 PM - 5:00 PM
First 6 months: Onsite 5x/week (probationary period)
Post 6 months: Hybrid 3 days WFH, 2 days onsite (candidates choice)

Equipment:
No equipment provided for remote work
Must have own laptop and cell phone (app provided for calls)


Day-to-Day Responsibilities:
Insight Global is seeking 1 Insurance Verification Specialist to join the team for a large pediatric healthcare system based out of Baltimore, MD. The candidates primary responsibilities are as follows:

Confirm outpatient appointment schedules daily.

Verify insurance eligibility, benefits, pre-certifications, prior authorizations, and referrals.

Obtain required authorizations from insurance companies, PCPs, and families.

Document appointment details in EMR systems (Meditech, EPIC).

Notify families of financial responsibilities (non-covered services, deductibles, copays, etc.).

Establish payment arrangements and refer to Financial Assistance programs.

Multitask, prioritize, and self-motivate to meet team goals.

Other duties as assigned.

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here.

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Must Haves:
High School Diploma or equivalent preferred.

2+ years of experience in insurance or healthcare.

Proficient with computers and office equipment (email, printer, scanner, etc.).

Knowledge of insurance structures, medical terminology, CPT, ICD-10.

Experience with EMR systems (Meditech, EPIC).


Key Expectations:
Ability to complete 25+ appointments/day.

Primarily facility billing experience (multidisciplinary they will work within: rehab, psych, BH, medicine).

Familiarity with Medicaid, commercial payors, BCBS, Cigna, Humana.

Willingness to cross-train and grow skillsets.

Strong communication, organization, and problem-solving skills.

Some back-end denials / follow-up experience.

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.