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The Insurance Verification Specialist I gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Processes insurance pre-verification for hospital admissions or specialty service office visits. Being an Insurance Verification Specialist I verifies insurance coverage and obtains required authorizations when necessary. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. In addition, Insurance Verification Specialist I documents re more...
The Insurance Verification Specialist II gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Processes insurance pre-verification for hospital admissions or specialty service office visits. Being an Insurance Verification Specialist II verifies insurance coverage and obtains required authorizations when necessary. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. In addition, Insurance Verification Specialist II documents more...
The Reimbursement Coding Verification Specialist reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Determines the extent to which patients' insurance covers their treatments. Being a Reimbursement Coding Verification Specialist may assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. In addition, Reimbursement Coding Verification Specialis more...
The Verification Engineering -Specialist coordinates all validation activities by constant communication with affected departments and personnel; oversees and reviews validation area processes and procedures. Prepares all protocols and reports for validation work. Being a Verification Engineering -Specialist typically reports to a manager or head of a unit/department. May require a bachelor's degree. Verification Engineering -Specialist is a specialist on complex technical and business matters. Work is highly independent. May assume a team lead role for the work group. Working as a Verificatio more...
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Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops recommendations to advise customers on the best options that will meet their needs and to place and retain the business. Requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Requires a bachelor's degree. Requires insurance licensi more...
The Insurance Plan Design Specialist works alongside underwriters, but is not an underwriter role. Works closely with clients to design group health, dental and/or life insurance plans to create an overall benefit package. Being an Insurance Plan Design Specialist may handle more complex plan design. Monitors and analyzes cost trends. In addition, Insurance Plan Design Specialist requires a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. Being an Insurance Plan Design Specialist gains exposure to some of the complex tasks within the job function. Occasionally more...
The Insurance Placement Specialist III assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Being an Insurance Placement Specialist III requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Develops recommendations to advise customers on the best options that will meet their needs and to plac more...
The Insurance Placement Specialist I assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Being an Insurance Placement Specialist I requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Develops recommendations to advises customers on the best options that will meet their needs and to place a more...
The Insurance Placement Specialist II assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Being an Insurance Placement Specialist II requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Develops recommendations to advise customers on the best options that will meet their needs and to place more...
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