Insurance Verification at Partner's Somerville, Massachusetts

Job Title reputed company 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 reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company. 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 reputed company 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 hospital's billing system and maintain updated records of insurance verification and authorization status.
• Assist the billing team in resolving insurance-reputed company 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
• Associate's Degree Healthcare Management or reputed company 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: Remote
• Work Location: 399 Revolution Drive
• Scheduled Weekly Hours: 0
• Employee Type: Per Diem
• Work Shift: Evening (United States of America)
• Pay Range: $25.50 - $36.49/Hourly
• Grade: 5

At reputed company, we reputed company in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining reputed company pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The reputed company pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass reputed company elements contributing to your total compensation package. In addition to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our reputed company team will provide an overview of your potential compensation and benefits package. EEO Statement: reputed company is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religious creed, national reputed company, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. reputed company Competency reputed company At reputed company, our competency reputed company defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The reputed company 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, reputed company hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Apply tot his job Apply To this Job