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Job Description:
We are looking for a Medical Insurance Claims Specialist to join a healthcare team in Vancouver, Washington. This Contract position is fully onsite and focuses on confirming insurance details before services are provided so billing can be processed accurately and efficiently. The ideal candidate brings strong attention to detail, a solid understanding of coverage verification, and the ability to communicate clearly with patients, providers, and insurance representatives.
Job Responsibility:
- Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered
- Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices
- Enter, verify, and maintain accurate insurance and benefits information within the patient management system
- Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner
- Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission
- Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification
- Follow established healthcare regulations and organizational standards when handling patient information and insurance records
Requirements:
- At least 1 year of experience in insurance verification, medical billing, claims support, or a related healthcare administrative role
- High school diploma or equivalent required
- additional education in healthcare administration or a related field is preferred
- Working knowledge of insurance eligibility review, patient benefits coordination, and medical claims processes
- Familiarity with prior authorization and referral requirements across a range of insurance carriers
- Understanding of medical terminology and its application in coverage verification and billing support
- Strong organizational skills with a high level of accuracy and attention to detail
- Effective verbal and written communication skills, along with a customer-focused approach when assisting patients and internal teams
- Proficiency with healthcare software platforms and Microsoft Office applications
What we offer:
- medical, vision, dental, and life and disability insurance
- enrollment in company 401(k) plan
