Insurance Verification Specialist jobs in Nashville, TN

Insurance Verification Specialist is responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Being an Insurance Verification Specialist interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. May require a bachelor's degree in area of specialty. Additionally, Insurance Verification Specialist typically reports to a supervisor or manager. To be an Insurance Verification Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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Insurance Verification Specialist (REMOTE)
  • Community Health Systems
  • Franklin, TN FULL_TIME
  • ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Verifies detailed insurance benefits, medical necessity, and authorization/referral guidelines, consistently prioritizing and following the established verification processes.
    • Communicates outstanding documentation requests, required account follow-up, and payor issues to the appropriate facility contacts.
    • Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met while maintaining effective communication with patients, physicians, medical office staff, and both internal and external co-workers.
    • Calculates the estimated patient financial responsibility via the estimation tool.
    • Notates all actions performed in the applicable host system(s) immediately.
    • Performs all other duties, as assigned or requested, while adhering to strict deadlines.

    QUALIFICATIONS

    REQUIRED EDUCATION

    • High School Diploma or Equivalent

    REQUIRED EXPERIENCE

    • 1 years of medical office, medical insurance company, or healthcare facility experience
    • Knowledge of CPT, ICD-10, and medical terminology

    LICENSE/REGISTRATION/CERTIFICATION

    • Certified Professional Coder (CPC) (PREFERRED)

    KNOWLEDGE, SKILLS AND ABILITIES

    • Ability to define problems, collect data, establish facts and draw valid conclusions. Interprets an extensive variety of payer requirements.
    • To perform this job successfully, an individual should have knowledge of host systems, ancillary applications, and payor web applications.

    Education

    Required
    • High School or better
  • 1 Month Ago

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Receptionist/Scheduler/Insurance Verification Specialist
  • Indian Lake Surgery Center
  • Hendersonville, TN FULL_TIME,PART_TIME
  • Indian Lake Surgery Center is an ASC located north Nashville in the growing town of Hendersonville, TN. We are looking for a Receptionist/Scheduler/Insurance Verification Specialist.Responsibilities: ...
  • 3 Days Ago

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Insurance Verification Specialist - Patient Caller (Part Time REMOTE)
  • SSC - Nashville
  • FRANKLIN, TN PART_TIME
  • Essential Duties and Responsibilities: Maintain working knowledge of estimated patient financial responsibilities via the estimation tool and perform outreach to the patients prior to the scheduled ap...
  • 13 Days Ago

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Insurance Verification Coordinator
  • Expedite Technology Solutions
  • Nashville, TN CONTRACTOR,TEMPORARY
  • Job Title: HYBRID Administrative Services Assistant Location: 500 James Robertson Pkwy Nashville,TN 37243Duration: 6 Months (Potential to Convert/Extend ) Shift: M-F 8am to 4.30pm Hybrid Summary: unde...
  • 27 Days Ago

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Measurement and Verification Specialist (MVS)
  • honeywell
  • Nashville, TN FULL_TIME
  • Honeywell Building Solutions is looking for a Measurement and Verification Specialist (MVS) for Federal, PHA and West regions ESP contracts. This is a great position to showcase your talents in a high...
  • 8 Days Ago

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Measurement and Verification Specialist (MVS)
  • honeywell
  • Nashville, TN FULL_TIME
  • Honeywell Building Solutions is looking for a Measurement and Verification Specialist (MVS) for Federal, PHA and West regions ESP contracts. This is a great position to showcase your talents in a high...
  • 8 Days Ago

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0 Insurance Verification Specialist jobs found in Nashville, TN area

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Copay Assistance Specialist
  • Tennesee Retina
  • Nashville, TN
  • Job Description Job Description Who We Are Tennessee Retina is the largest Ophthalmology practice in middle Tennessee, o...
  • 4/26/2024 12:00:00 AM

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Polysomnographic Technologist - Sleep Center
  • Ascension Health
  • Nashville, TN
  • Details * Department: Sleep Center 20th Ave Midtown * Schedule: Nights * Location: Nashville, TN Benefits Paid time off ...
  • 4/26/2024 12:00:00 AM

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Clinical Intern
  • Ascension Health
  • Nashville, TN
  • Details * Department: Clinical Support * Schedule: Flexible 12 hour shifts * Hospital: Ascension, Saint Thomas Midtown *...
  • 4/26/2024 12:00:00 AM

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Advanced Certified Pharmacy Technician
  • Ascension Health
  • Nashville, TN
  • Details * Sign-on bonus: $3,000 * Department: Inpatient Pharmacy * Schedule: Full-time, Day shift, 7 on / 7 off, 6:00am ...
  • 4/26/2024 12:00:00 AM

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LPN/LVN
  • Ascension Health
  • Nashville, TN
  • Details * Sign-on bonus: Up to $8,000 * Department: Oncology/Medical Surgical * Schedule: Full-time Days, 7 am- 7 pm * H...
  • 4/26/2024 12:00:00 AM

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Claims Examiner -Remote
  • Generis Tek Inc
  • Nashville, TN
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/25/2024 12:00:00 AM

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Remote Insurance Claims Collector
  • BCA Financial Services, Inc.
  • Nashville, TN
  • REMOTE POSITION - Actively Hiring Life is Short. Do Work that Matters. BCA Financial Services, Inc. is seeking detail-or...
  • 4/24/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • Nashville, TN
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/23/2024 12:00:00 AM

Nashville is the capital and most populous city of the U.S. state of Tennessee. The city is the county seat of Davidson County and is located on the Cumberland River. The city's population ranks 24th in the U.S. According to 2017 estimates from the U.S. Census Bureau, the total consolidated city-county population stood at 691,243. The "balance" population, which excludes semi-independent municipalities within Davidson County, was 667,560 in 2017. Located in northern Middle Tennessee, Nashville is the main core of the largest metropolitan area in Tennessee. The 2017 population of the entire 14-...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Verification Specialist jobs
$34,904 to $43,974
Nashville, Tennessee area prices
were up 1.3% from a year ago

Insurance Verification Specialist in Saint Louis, MO
The section work experience is an essential part of your insurance verification specialist resume.
December 01, 2019
Insurance Verification Specialist in Laramie, WY
Wide experience with all public and private health insurance practices and policies.
February 04, 2020
Insurance Verification Specialist in Mobile, AL
Key skills listed on a resume include – insurance claims expertise, experience working with insurance companies; extensive knowledge of different types of coverage and policies, excellent multitasking skills, and the ability to maintain accurate patient insurance records.
January 20, 2020