
Medical Insurance Claims Specialist
2 days ago
Job Title: Medical Insurance Claims Coordinator
">We are seeking a highly organized and experienced Medical Insurance Claims Coordinator to join our team. As a key member of our operations, this role plays a vital part in supporting both sleep studies and DME services.
">Responsibilities:
">• Verify insurance benefits and eligibility for sleep studies, DME, and related procedures.
">• Obtain prior authorizations efficiently and accurately.
">• Explain co-pays, deductibles, and co-insurance to patients.
">• Work with various insurance plans including HMO and PPO.
">• Document and track authorizations in EMR systems and Excel.
">• Communicate clearly and professionally with patients and insurance companies.
">• Support front office and billing teams when needed.
">Requirements:
">• Minimum 2 years of experience in medical insurance verification and prior authorization.
">• Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.
">• Familiarity with sleep studies and DME services (desired but not required).
">• Ability to multitask, stay organized, and shift roles when necessary.
">• Excellent verbal and written communication skills.
">• Proficiency in EMR systems and Microsoft Office (especially Excel).
">• Team player with a positive and proactive attitude.
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