Verify insurance eligibility, coverage, and benefits prior to patient appointments.

Confirm out-of-network benefits, deductibles, coinsurance, and out-of-pocket maximums.

Identify authorization, referral, and other insurance requirements.

Review upcoming appointments to ensure patient demographics, insurance information, and requireddocumentation are complete.

Identify coverage discrepancies and communicate outstanding items to the appropriate teams.

Accurately document verification findings in the EMR and applicable tracking systems.

Assist with pre-visit financial readiness and front-desk coordination.

RequirementsQualifications

- Previousexperienceinmedicalinsuranceverificationandeligibility.
- Strongknowledgeofout-of-networkinsurancebenefitsandreimbursementstructures.
- Understandingofcommercialinsuranceplans,deductibles,coinsurance,andauthorizationrequirements.
- Experiencenavigatinginsurancepayerportalsandcontactinginsurancecarriers.
- Familiaritywithmedicalbillingterminologyandrevenuecycleprocesses.
- ExperiencewitheClinical Works(eCW)preferred.
- Strongattentiontodetail,communicationskills,andabilitytomanageahighvolumeofpatient verification

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📌 Insurance Verification Specialist (Barranquilla)
🏢 Venture Global Solutions
📍 Barranquilla