Job Overview – Insurance Verification Specialist
Compensation: $19 – $23/hour (Dependent on Experience)
Location: Burlington County, NJ
Schedule: Monday to Friday (Hybrid)
Atlantic Group is hiring an Insurance Verification Specialist in Burlington County, NJ for our client, supporting insurance verification, prior authorizations, and reimbursement services within a healthcare environment. This role partners with patients, providers, insurance carriers, and internal teams to ensure accurate insurance coverage, timely authorizations, and exceptional customer service. The ideal candidate has experience with medical insurance processes and thrives in a fast-paced, collaborative setting.
Responsibilities as the Insurance Verification Specialist:
- Insurance Verification: Verify patient insurance eligibility, benefits, and coverage with commercial, Medicare, and Medicaid payers while maintaining accurate account information.
- Prior Authorizations: Initiate, submit, and monitor prior authorization requests while ensuring compliance with payer guidelines and documentation requirements.
- Patient Support: Explain insurance benefits, collect updated insurance information, discuss patient financial responsibilities, and assist with payment-related inquiries.
- Account Management: Maintain accurate patient records, process demographic and insurance updates, request medical records, and document account activity within internal systems.
- Customer Service: Respond to phone calls, emails, and other inquiries from patients, providers, and insurance carriers while delivering timely and professional support.
- Compliance & Process Improvement: Adhere to HIPAA and reimbursement guidelines while identifying workflow improvements and escalating reimbursement or operational issues when appropriate.
Qualifications for the Insurance Verification Specialist:
- Education: Bachelor’s degree is preferred.
- Experience: 3–5 years of experience in insurance verification, prior authorizations, medical billing, reimbursement services, or a related healthcare administrative role is required.
- Industry Knowledge: Experience with medical insurance terminology, claims processing, prior authorization requirements, Medicare, Medicaid, and commercial insurance plans is required.
- Technical Skills: Proficiency with Microsoft Office, electronic medical records, and healthcare billing or practice management systems is required.
- Skills & Attributes: Strong organizational, communication, and customer service skills with exceptional attention to detail, the ability to manage high-volume workloads, and the ability to prioritize multiple responsibilities in a fast-paced environment.
Application Notice: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, Atlantic Group will keep your resume on file for future opportunities and may contact you for further discussion.