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Backend Insurance Verification Jobs in Ohio (NOW HIRING)

Matrix Research, Inc.

Digital Design Engineer

Dayton, OH · On-site

$129K/yr

By designing RF-front and back-end systems that can be integrated into various platforms, you will ... Proficiency in all aspects of FPGA design and verification, familiarity with FPGA timing and ...

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Backend Insurance Verification information

What is the difference between Backend Insurance Verification vs Front Desk Insurance Verification?

AspectBackend Insurance VerificationFront Desk Insurance Verification
Primary ResponsibilitiesProcessing insurance claims, verifying coverage electronically, and handling billing issuesChecking insurance information at patient check-in, collecting documents, and initial verification
Work EnvironmentOffice-based, often in billing or administrative departmentsFront desk, reception area, patient check-in stations
Required CredentialsKnowledge of insurance policies, billing software, and healthcare regulationsBasic insurance knowledge, customer service skills, and administrative training
Common UsageUsed in billing departments for detailed claim processingUsed at the point of patient intake for initial verification

Backend Insurance Verification involves processing insurance claims and verifying coverage electronically within billing departments, while Front Desk Insurance Verification focuses on initial patient insurance checks at the front desk. Both roles require insurance knowledge but differ in responsibilities and work environment.

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Backend Insurance Verification jobs near you

Medicaid Enrollment Specialist

One Senior Care

Youngstown, OH • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Do you enjoy staying organized, managing details, and helping others navigate important processes?
Are you someone who thrives in a structured, team-focused environment where accuracy and follow-through matter?
If so, you may be the perfect fit for our One Senior Care family of businesses - including LIFE-NWPA, Mountain View PACE, and Buckeye PACE.
Job Summary:
As a Medicaid Enrollment Specialist, you'll bring attention to detail, organization, and consistency to every step of the enrollment process. You'll manage the "back-end" Medicaid application process, ensuring all documentation is accurate, complete, and submitted on time so participants can receive the care they need.
This position is ideal for someone who is dependable, detail-oriented, and enjoys working through structured processes. You'll be part of a supportive team in a mission-driven environment where collaboration, accuracy, and service come first.
Schedule:
First shift, full-time hours. Specific work hours will be established in consultation with your supervisor.
Benefits:
  • 9 Paid Holidays
  • PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees)
  • Medical, Dental, & Vision
  • Free Life and AD&D Insurance Plan
  • Health Savings and Flexible Spending Accounts
  • Short Term Disability Insurance
  • Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents
  • Paid Parental Leave
  • Tuition Reimbursement and Paid Training Opportunities
  • Retirement Plan with company annual match
  • Mileage Reimbursement at annual IRS rate as applicable

Duties and Responsibilities:
  • Receive and review Medicaid application packets from the Participant Enrollment Specialist.
  • Request, collect, and verify required medical and financial documentation.
  • Ensure all application materials are complete, accurate, and submitted on time.
  • Track application status and follow up with county offices and external agencies.
  • Identify and communicate any barriers or delays in the application process.
  • Maintain accurate documentation and updates in CRM and EMR systems.
  • Collaborate with enrollment, intake, and interdisciplinary teams to support Participants.
  • Participate in team meetings, training, and quality improvement initiatives.
  • Track progress toward goals and maintain key performance indicators.
  • Follow up on pending applications after enrollment until verification is complete.
  • Provide support to participants and families throughout the process.

Everyone's journey is unique. Even if you haven't done it all, your dedication to learning and helping others is what counts. With our training, mentorship, and career development programs, we'll help you grow and succeed.
What Makes You a Great Fit:
  • Highly organized with strong attention to detail.
  • Able to manage multiple tasks and meet deadlines.
  • Clear and professional communication skills.
  • Comfortable working with structured processes and documentation.
  • Patient, respectful, and service-oriented.
  • Team-focused and collaborative.
  • Able to handle sensitive information with confidentiality.

Qualifications:
  • Bachelor's Degree
  • Experience working with the frail or elderly population is a plus - but not required
  • Knowledge of Medicare and Medicaid regulations preferred

Join Us!
At One Senior Care, you'll be part of a compassionate team that makes a tangible difference in seniors' lives - working together to keep participants safe, healthy, connected, and at home.
One Senior Care is an Equal Opportunity Employer. Employment is contingent upon successful completion of required background checks, health and safety screenings, and any clearances required for healthcare programs.

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