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Director Insurance Verification Jobs in Utah (NOW HIRING)

Gadjab

Insurance Verification Specialist

Lehi, UT · Hybrid

$22/hr

This position will report to the Director of Revenue Cycle Management and collaborate with ... Verify patient insurance eligibility and benefits for services provided in skilled nursing ...

Hidden Valley Family Medicine

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Medical Billing Assistant

Draper, UT · On-site

$22 - $25/hr

Working under direct supervision, this role requires occasional patient interaction and relies on ... Verify patient insurance coverage and eligibility * Reconcile accounts to ensure billing accuracy

Apex Recruiting Professionals

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Prior Authorization Specialist - Intake Specialist

Sandy, UT · On-site

$23 - $29/hr

Insurance Verification * Referrals * Intake * Revenue Cycle Management * Patient Access ... Our positions are not temporary or contract, they are direct hire with full benefits. Our purpose ...

Young Family Dental of Orem

Front Desk

Orem, UT · On-site

This role focuses on patient intake, scheduling, communication, insurance verification, and payment ... directed. Records & Documentation * Maintain accurate and up-to-date patient records. * Ensure ...

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Director Insurance Verification information

What does a director insurance verification do?

A Director of Insurance Verification oversees the team responsible for confirming patients' insurance coverage and eligibility before medical services are provided. They develop and implement policies to ensure accurate, timely insurance verification and minimize claim denials. Additionally, they collaborate with billing departments, train staff, and work to improve the efficiency of the verification process, ensuring compliance with healthcare regulations. Their role is crucial in facilitating smooth operations and optimizing revenue cycles in healthcare organizations.

What are the key skills and qualifications needed to thrive as a director insurance verification, and why are they important?

To thrive as a Director of Insurance Verification, you need in-depth knowledge of insurance regulations, claims processes, and revenue cycle management, typically supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with insurance verification software, electronic health records (EHR) systems, and compliance tools is essential. Strong leadership, analytical thinking, and effective communication are crucial soft skills for managing teams and resolving complex verification issues. These skills and qualities are vital for ensuring accurate, timely insurance processing and optimizing financial performance for healthcare organizations.

What are the main challenges faced by a director insurance verification, and how can they be addressed?

A Director of Insurance Verification often contends with rapidly changing insurance regulations, high claim denial rates, and ensuring team accuracy under tight deadlines. Addressing these challenges involves implementing robust training programs for staff, investing in technology to automate verification processes, and maintaining strong relationships with payers. Regularly reviewing workflow and fostering open communication with both clinical teams and billing departments also help reduce errors and streamline operations.

What are the most commonly searched types of Insurance Verification jobs in Utah?

The most popular types of Insurance Verification jobs in Utah are:

What cities in Utah are hiring for Director Insurance Verification jobs?

Cities in Utah with the most Director Insurance Verification job openings:

Insurance Verification Specialist

Lehi, UT • Hybrid

Gadjab
See more jobs at Gadjabexternal

$22/hr

Part-time

Re-posted 2 days ago

Job description

Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. We are committed to delivering high quality services and improving patient health outcomes. Our team consists of skilled professionals who are passionate about making a difference in the lives of others.
We are seeking a part time Insurance Verification Specialist with strong customer service and communication skills to verify patient insurance coverage and benefits for services provided in our partnered communities across multiple states. 
This is a phone intensive position requiring frequent communication with a variety of insurance payers to confirm eligibility, benefits, coverage limitations, and authorization or referral requirements. The Insurance Verification Specialist will accurately document all verification details and ensure insurance information is complete and up to date to help prevent claim denials and reimbursement delays. This position will report to the Director of Revenue Cycle Management and collaborate with insurance payers, SNF partners, practitioners, and internal teams to support clean claims and timely reimbursement. 
This position is a part-time, in office role requiring about 20-25 hours per week, with the potential to transition to a hybrid schedule at the manager’s discretion. Following the initial training period, specific workdays and hours may be discussed with the manager based on department needs and the selected candidate’s availability. 
Key Responsibilities:
  • Verify patient insurance eligibility and benefits for services provided in skilled nursing facilities across multiple states
  • Conduct frequent outbound and inbound calls with insurance payers to confirm coverage, benefit limitations, effective dates, copayments, and coordination of benefits
  • Determine whether prior authorization, referral, or additional documentation is required before services are provided
  • Access and navigate multiple payer portals and verification systems to obtain accurate coverage information
  • Document verification details, reference numbers, payer representatives, and any other relevant information accurately and thoroughly
  • Maintain complete and current patient insurance information
  • Communicate coverage issues, missing information, and authorization requirements to the appropriate team members
  • Assist with resolving insurance discrepancies that could lead to claim denials or reimbursement delays
This is a general overview of the position and not intended to be a comprehensive list. Duties may be added, removed, or modified based on departmental and organizational needs. 
Preferred Qualifications:
  • Previous experience with medical insurance verification, eligibility, or revenue cycle processes
  • Knowledge of Medicare and Medicaid requirements
  • Experience working with insurance plans across multiple states. Familiarity with plans in Utah, Nevada, Texas, and Washington a plus
  • Ability to learn new systems and processes quickly. Advanced MD, Gehrimed, Availity, Noridian, Prism, UHC a plus
  • Independent and able to maintain accuracy while meeting deadlines
  • Ability to navigate multiple payer portals and computer systems efficiently

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