Insurance Verification Representative Jobs

Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.

• Efficiently and accurately verifies, reviews, documents and completes insurance verifications
• Ability to analyze and correct accounts receivable problems
• Reviews claims and performs claim corrections and submissions to new carrier based on new plan verification
• Maintains a high degree of confidentiality always due to access to sensitive information
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Identifies and initiates documentation needs and requests to permit timely billing of services and communication with appropriate team(s)
• Reviews patient accounts and determines appropriate action(s) needed to collect payment
• Makes outbound calls to insurance companies to verify insurance benefits
• Evaluates insurance coverage in order to determine the policy’s compatibility with our program and recommends the appropriate products based on the patient’s needs and insurance coverage
• Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes

We offer a wide variety of insurance benefits after 60 days of employment (medical, dental, vision, short and long-term disability and life) with a large portion of premiums paid by the company, as well as paid time off within the first year. We also offer a 401(k) plan with a generous company match and vesting schedule, financial planning, competitive salary, and an EAP-Employee Assistance Plan.

• Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
• One-year medical insurance verification related experience or equivalent combination of education and experience
• Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
• Ability to analyze and correct accounts receivable problems
• Ability to understand Medical Records documents
• One year of customer service experience required
• Position may require evening and weekend availability
• Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
• High School diploma

• Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

• Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat other the way you want to be treated.

• Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.