**Adecco Healthcare & Life Sciences** is hiring **Insurance Verification Specialists** ! This role is remote / work from home. Please read below and apply with an updated resume for consideration. **Type:** Three-month contract, opportunity for extension or fulltime offer **Schedule:** Monday through Friday, 8am to 4:30pm CST **Pay:** $19.00 an hour **Responsibilities of the Insurance Verification Specialist:** • Demonstrate strong knowledge of insurance requirements including processing of all referrals requiring authorization based on plan & type of referral • Initiate contact w/ payers to complete insurance verification activities to prevent delays in care due to missing authorizations • Use critical thinking to troubleshoot & contact payers and patients as necessary to secure coverage & authorizations prior to services being rendered • Navigate EMR, insurance portals/protocols associated with each payer for authorization activities, including identifying & providing all relevant clinical information to support the authorization • Document all authorization related information using medical terminology appropriate to the service in the EMR to support continuity of care. Includes information gathered during the verification or authorization process • Update health record w/ accurate information regarding insurance coverage based on information gathered during verification &/or authorization process • Obtain required authorizations, pre-certifications and 2nd opinion surgical approval for inpatient/out-patient procedures for multiple service lines, depts & modalities across the continuum. Identify/escalate barriers to obtaining authorization to the insurance company or per dept protocol • Respond to insurance company inquiries for information. Includes consent forms, pre-authorization forms, 2nd opinion forms & referral forms • Coordinates w/ providers, payers, depts, & patients regarding authorization status and options & documents outcomes in the EMR • Confirms payment coverage including the initiation of insurance & managed care authorizations • Communicates w/ providers & clinical delegates to resolve any outstanding information regarding pre-authorization & referral requirements • Perform electronic eligibility confirmation as needed; verify insurance for encounters & visits as assigned • Completes assigned tasks in EMR work queues & brings work lists to completion **Qualifications for the Insurance Verification Specialist:** • High School Diploma/GED (or higher) • 1+ years of experience in medical billing, medical insurance verification, managed care and/or patient registration • 1+ years of experience with health insurance plans including Medicare, Medicaid and commercial carriers • 1+ years of experience working with an EMR system • Intermediate level of proficiency with Microsoft Office products **Why work for Adecco?** · Weekly Pay · 401(k) Plan · Skills Training · Excellent medical, dental, and vision benefits Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This **Insurance Verification Specialist** job is being recruited for by Adecco’s Healthcare & Life Sciences division, not your local Adecco Branch Office. For opportunities available at Adecco Healthcare & Life Sciences go to https://www.adecco.com/en-us/employers/industries/healthcare-life-sciences Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/ . The Company will consider qualified applicants with arrest and conviction record. **Pay Details:** $19.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance **Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.