Job Description

Overview

We are seeking a detail-oriented and knowledgeable Insurance Eligibility Representative to join our healthcare team. This role involves verifying patient insurance coverage, ensuring compliance with healthcare regulations, and supporting the billing and coding processes. The ideal candidate will have experience with managed care, medical office procedures, and a strong understanding of medical terminology and coding systems such as CPT, ICD-9, ICD-10, and ICD coding. Prior experience in dental or medical offices, along with familiarity with HIPAA regulations, is highly valued. This position offers an opportunity to work in a professional environment dedicated to providing excellent patient service and accurate insurance verification.

Responsibilities

Verify patient insurance eligibility and benefits prior to appointments or procedures Review and interpret insurance policies using knowledge of managed care and medical coding systems Ensure compliance with HIPAA regulations when handling sensitive medical records and patient information Assist in the documentation of insurance information within electronic health records (EHR) systems Collaborate with medical staff and billing departments to resolve coverage issues or discrepancies Maintain accurate records of insurance verification activities and update patient accounts accordingly Support the review of medical records for proper coding using CPT, ICD-9, ICD-10, and ICD coding standards Stay informed about changes in insurance policies, healthcare regulations, and coding updates relevant to the role Provide excellent customer service by addressing patient inquiries related to insurance coverage

Experience

Prior experience in a medical office setting or dental office is preferred Knowledge of managed care processes and insurance verification procedures Familiarity with medical terminology, medical records management, and medical coding (CPT, ICD-9, ICD-10) Experience working with HIPAA regulations to ensure confidentiality and privacy of patient information Office experience demonstrating strong organizational skills and attention to detail Additional experience in medical billing or coding is a plus but not required
This role is essential for maintaining efficient operations within our healthcare facility while ensuring compliance with industry standards. We welcome candidates who are committed to accuracy, confidentiality, and providing exceptional support to both patients and healthcare providers.

Job Type: Full-time

Pay: From $19.75 per hour

Expected hours: 40 per week

Benefits:

Dental insurance Health insurance Life insurance Paid time off Professional development assistance Vision insurance
People with a criminal record are encouraged to apply

Experience:

Behavioral health billing: 1 year (Required) Kipu: 1 year (Required) Authorizations: 1 year (Required)
Ability to Commute:

Phoenix, AZ 85020 (Preferred)
Work Location: In person