Eligibility and Benefits Verification Specialist
RCM Staff ™ BPO is currently looking for an Eligibility and Benefits Verification Specialist to join our growing team. If you have experience in insurance verification and want to work with a company that values accuracy, efficiency, and professional growth, this role is perfect for you!
Responsibilities
- Insurance Verification: Verify patient insurance coverage, benefits, co-pays, deductibles, and authorization requirements.
- Communication with Payers: Contact insurance companies via phone, online portals, or fax to obtain eligibility details and coverage information.
- Patient Data Management: Update and maintain accurate patient insurance records in the Electronic Health Record (EHR) system.
- Collaboration: Work closely with staff members to ensure seamless insurance information capture.
Qualifications
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Experience:
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At least 1 year of experience in insurance eligibility and benefits verification.
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Prior experience in US healthcare RCM, medical billing, or insurance follow-up is a plus.
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Education: Background in healthcare, accounting, medical billing, or a related field is preferred.
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Technical Skills:
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Knowledge of major US insurance payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, etc.).
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Experience using EHR/EMR systems such as Kareo, Athenahealth, or eClinicalWorks.
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Familiarity with insurance verification portals and phone verification procedures.
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Soft Skills:
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Strong attention to detail and accuracy.
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Excellent written and verbal communication skills in English.
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Ability to work independently and meet deadlines in a fast-paced environment.
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Technology Requirements:
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Stable internet connection and a reliable computer setup.
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Proficiency with Microsoft Office, Phone systems (VOIP) and chat systems like Slack/Teams.
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