Insurance Verification Specialist, Per Diem
Job Location:
Somerville, NJ - USA
Hourly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Responsible for verifying patient insurance coverage and benefits confirming pre-authorizations and obtaining necessary authorizations for medical services in order to support the revenue cycle by ensuring that insurance information is accurate billing is appropriate and claims processing proceeds smoothly.Essential Functions
-Obtain and verify patient insurance information including policy details coverage limits and effective dates.
-Contact insurance companies or third-party payers to confirm eligibility benefits and co-payment or deductible amounts.
-Coordinate with healthcare providers and insurance companies to obtain pre-authorizations or prior authorizations for medical services surgeries or procedures.
-Explain insurance benefits and coverage details to patients ensuring they understand their financial responsibilities and co-payment requirements.
-Enter accurate insurance information into the hospitals billing system and maintain updated records of insurance verification and authorization status.
-Assist the billing team in resolving insurance-related issues that may arise during the claims processing process.
-Communicate with patients to inform them of their insurance verification status and any potential financial obligations.
Qualifications
Education
High School Diploma or Equivalent required
Associates Degree Healthcare Management or related field of study preferred
Experience
2 years of healthcare billing experience preferred
Knowledge Skills and Abilities
Knowledgeable of medical billing codes insurance claim processing and payment posting procedures.
Knowledge of healthcare billing regulations HIPAA and compliance requirements.
Strong attention to detail and data accuracy to ensure precise payment posting and reconciliation.
Excellent communication and customer service skills to interact with insurance companies patients and internal stakeholders.
Demonstrated problem-solving and critical-thinking skills to resolve payment discrepancies and denials effectively.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$25.50 - $36.49/HourlyGrade
5EEO Statement:
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
