Medical Insurance Verification Specialist - Remote Contract Opportunity with a Leading Healthcare Technology Company

Join the Team Revolutionizing Healthcare Technology

About Us

At pMD, we hold ourselves to exceptionally high standards to provide unparalleled service to healthcare professionals, their staff, and patients. We strive to end each workday knowing that we've made someone's life better. Our team is comprised of courageous and caring healthcare warriors who are here to solve the impossible problems, such as reducing medical errors, saving patient lives, and empowering physicians to stay financially independent. We care deeply about making a big impact and we are relentless.

We equally value our work and our life apart from work. We're compelled to work with urgency, decisiveness, and efficiency in everything we do. This affords us freedom and time for things that matter most. Leaders at pMD are developed through our mentorship program. Investing in the success of each individual strengthens our team and builds loyalty. We believe in leading by example. Everything one does ripples outward. Therefore, we need each individual at pMD to embody our leadership principles to thrive as an enduring great company.

The Role

As a Medical Insurance Verification Specialist, you will play a critical role in identifying active coverage under the correct policy for our patients. You will be responsible for performing detailed insurance benefit verifications prior to claim submission to the carrier. This is an excellent opportunity to join a team that values innovation, collaboration, and customer satisfaction.

Key Responsibilities:

• Verify a patient has active coverage with the insured carrier following an inpatient encounter using an electronic eligibility solution.
• If the carrier returns ineligible, identify the correct coverage by leveraging the integrated eligibility tool, HL7 interface message, or attached facesheet. If a patient is identified as self-pay, update the financial class.
• When coverage returns that an advantage plan has been detected, identify the correct carrier and policy number to be billed using an eligibility solution. Update insurance information in the patient's record based on the eligibility response.
• Identify the correct policy to be billed when a patient is identified as being enrolled in hospice by referencing the eligibility response.
• For carriers that do not offer an electronic eligibility response, contact the carrier by phone to complete the verification. A carrier contact list will be provided to facilitate outreach.

Requirements and Qualifications

Essential Qualifications:

• Proficient in health insurance verification and benefits.
• Must be able to work independently in a fast-paced environment.
• Exceptional attention to detail.
• Must currently work as a sole proprietor or have or be willing to register a business per independent contractor guidelines.
• Reside in the U.S.

Preferred Qualifications:

• Knowledge of CPT codes and basic medical terminology.

What We Offer

Compensation and Benefits:

We offer a competitive salary and a comprehensive benefits package that includes:

• Opportunities for professional growth and development.
• Flexible work arrangements, including remote work options.
• A dynamic and supportive work environment.
• A chance to make a meaningful impact in the healthcare industry.

Career Growth Opportunities:

At pMD, we're committed to investing in the success of our team members. We offer:

• A mentorship program that pairs you with experienced leaders.
• Opportunities for professional development and training.
• A culture that encourages innovation, collaboration, and feedback.

Our Culture and Values

At pMD, we value:

• Urgency and decisiveness in everything we do.
• Efficiency and productivity.
• Collaboration and teamwork.
• Innovation and creativity.
• A commitment to making a meaningful impact in the healthcare industry.

How to Apply

If you're passionate about healthcare technology and want to join a team that's revolutionizing the industry, we encourage you to apply for this exciting opportunity. Please submit your application through our online job portal, Lever. We aren't able to consider and respond to other types of applications, including those sent via email to pMD support, at this time. Please direct application status questions to [email protected].

Candidates must be authorized to work in the U.S. as a precondition of employment.

Don't Hesitate, Apply!

Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today and join our team of courageous and caring healthcare warriors!