You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking an experienced Insurance Verifier to join their team. The primary responsibility of this position is to perform insurance verification, ensuring that patients' coverage and benefits are accurately documented and communicated. The role also involves maintaining data integrity, managing records, and providing administrative support while adhering to HIPAA and patient confidentiality standards.

Key Responsibilities

• Insurance Verification: Liaises with external payers to confirm patient coverage and benefits and executes comprehensive documentation regarding reimbursement rates and patient financial responsibility.
• Data Integrity: Audits patient files for demographic and insurance accuracy, performing real-time updates and corrections within the practice management system.
• Case Documentation: Records concise summaries of insurance communications and authorization details within individual patient accounts.
• Records Management: Digitizes and organizes essential documentation, including benefit assignments and financial liability waivers. Coordinates the distribution of completed files to relevant departments and maintains organized digital or physical enrollment records.
• Reporting & Tracking: Utilizes spreadsheet software to monitor workflow volume, tracking the status of accounts from receipt through completion.
• Quality Assurance: Validates that all intake data, including eligibility and demographic details, is captured and entered into the database with high precision.
• Administrative Support: Assists in the upkeep of departmental manuals, logs, and compliance documentation.
• Regulatory Compliance: Maintains strict adherence to HIPAA and patient confidentiality standards to safeguard sensitive information.
• Operational Efficiency: Observes established office protocols and provides cross-functional support to other business office units as needed to ensure seamless operations.

Qualifications

• 2-3 years of experience in insurance verification.
• Must have working knowledge of all insurance plans, PPO, EPO, POS, HMO, Medicare, Medicare Advantage/Replacement, Medicaid, Medicaid Replacement, and other Government payors such as Triwest Tricare Alliance and Triwest VA.
• Must have working knowledge of insurance portals and possess the ability to obtain benefit information from them.
• Must be comfortable with high production work and heavy phone volume.
• Must live in or near the DFW area.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.