... insurance claim verification required * 1-2 years Experience with claims processing/reimbursement utilization review or case management preferred Licenses and Certifications * Certified as a ...
... insurance claim verification required * 1-2 years Experience with claims processing/reimbursement utilization review or case management preferred Licenses and Certifications * Certified as a ...
ESSENTIAL DUTIES AND RESPONSIBILITIES Conducts insurance verification and authorization validation on scheduled patients to ensure eligibility and that benefits are in order for accurate claim ...
ESSENTIAL DUTIES AND RESPONSIBILITIES Conducts insurance verification and authorization validation on scheduled patients to ensure eligibility and that benefits are in order for accurate claim ...
SIU Investigator - Northern VA and MD
Alexandria, VA · On-site
$25 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator - Northern VA and MD
Alexandria, VA · On-site
$25 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator
Silver Spring, MD · On-site
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator
Silver Spring, MD · On-site
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
Quick apply
SIU Investigator
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
SIU Investigator
$27 - $32/hr
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
Quick apply
... insurance claim investigation. As a global leader, we provide dynamic opportunities for claim ... Run appropriate database indices if necessary and verify the accuracy of results found
Construction Claim Technical Specialist
Chantilly, VA · On-site
$85K - $141K/yr
Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate ... Insurance Contract. * Knowledge - Intermediate. * Principles of Investigation - Intermediate.
Construction Claim Technical Specialist
Chantilly, VA · On-site
$85K - $141K/yr
Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate ... Insurance Contract. * Knowledge - Intermediate. * Principles of Investigation - Intermediate.
Auto Body Shop Estimator
Fairfax, VA · On-site
Manage claim process for customers by obtaining estimates from insurance companies and reviewing ... verification of SSN). Employment is on an at-will basis & subject to termination if dealership ...
Auto Body Shop Estimator
Fairfax, VA · On-site
Manage claim process for customers by obtaining estimates from insurance companies and reviewing ... verification of SSN). Employment is on an at-will basis & subject to termination if dealership ...
Auto Body Shop Estimator
Fairfax, VA · On-site
Manage claim process for customers by obtaining estimates from insurance companies and reviewing ... verification of SSN). Employment is on an at-will basis & subject to termination if dealership ...
Quick apply
Auto Body Shop Estimator
Fairfax, VA · On-site
Manage claim process for customers by obtaining estimates from insurance companies and reviewing ... verification of SSN). Employment is on an at-will basis & subject to termination if dealership ...
Pharmacy Technician
Washington, DC · On-site
$19.55 - $34.25/hr
Prepares prescriptions for dispensing: counts and verifies medication labels and vials ... insurance claim rejects; and follows up on problem prescriptions. * Receives checks and puts away ...
Pharmacy Technician
Washington, DC · On-site
$19.55 - $34.25/hr
Prepares prescriptions for dispensing: counts and verifies medication labels and vials ... insurance claim rejects; and follows up on problem prescriptions. * Receives checks and puts away ...
Bilingual Claims Administrator - R2710
Washington, DC · On-site
$68K - $75K/yr
Communicate with injured employees, supervisors, medical providers, insurance carriers, and third-party administrators in both English and Spanish. * Verify claim eligibility, coverage, and ...
Bilingual Claims Administrator - R2710
Washington, DC · On-site
$68K - $75K/yr
Communicate with injured employees, supervisors, medical providers, insurance carriers, and third-party administrators in both English and Spanish. * Verify claim eligibility, coverage, and ...
Communicate with injured employees, supervisors, medical providers, insurance carriers, and third-party administrators in both English and Spanish. * Verify claim eligibility, coverage, and ...
Communicate with injured employees, supervisors, medical providers, insurance carriers, and third-party administrators in both English and Spanish. * Verify claim eligibility, coverage, and ...
Be Seen First
Practice administrator
Alexandria, VA · On-site
$18 - $34/hr (+ commission)
... Insurance Verification process · Knowledge of Dental Codes. · Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient ...
Quick apply
Be Seen First
Practice administrator
Alexandria, VA · On-site
$18 - $34/hr (+ commission)
... Insurance Verification process · Knowledge of Dental Codes. · Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient ...
Be Seen First
Practice administrator
Alexandria, VA · On-site
$18 - $34/hr (+ commission)
... Insurance Verification process · Knowledge of Dental Codes. · Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient ...
Quick apply
Be Seen First
Practice administrator
Alexandria, VA · On-site
$18 - $34/hr (+ commission)
... Insurance Verification process · Knowledge of Dental Codes. · Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient ...
Pharmacy Technician
Washington, DC · On-site
$19.55 - $34.25/hr
Prepares prescriptions for dispensing: counts and verifies medication labels and vials ... insurance claim rejects; and follows up on problem prescriptions. * Receives checks and puts away ...
Pharmacy Technician
Washington, DC · On-site
$19.55 - $34.25/hr
Prepares prescriptions for dispensing: counts and verifies medication labels and vials ... insurance claim rejects; and follows up on problem prescriptions. * Receives checks and puts away ...
Pharmacy Technician
Washington, DC · On-site
$19.55 - $34.25/hr
Prepares prescriptions for dispensing: counts and verifies medication labels and vials ... insurance claim rejects; and follows up on problem prescriptions. * Receives checks and puts away ...
Pharmacy Technician
Washington, DC · On-site
$19.55 - $34.25/hr
Prepares prescriptions for dispensing: counts and verifies medication labels and vials ... insurance claim rejects; and follows up on problem prescriptions. * Receives checks and puts away ...
Be Seen First
Dental Practice Manager
Annapolis, MD · On-site
$23 - $30/hr (+ commission)
Oversee the full billing cycle: accurate coding, timely claim submission, payment posting, and follow-up on outstanding balances * Verify patient insurance benefits prior to appointments and ...
Quick apply
Be Seen First
Dental Practice Manager
Annapolis, MD · On-site
$23 - $30/hr (+ commission)
Oversee the full billing cycle: accurate coding, timely claim submission, payment posting, and follow-up on outstanding balances * Verify patient insurance benefits prior to appointments and ...
Be Seen First
Dental Practice Manager
Annapolis, MD · On-site
$23 - $30/hr (+ commission)
Oversee the full billing cycle: accurate coding, timely claim submission, payment posting, and follow-up on outstanding balances * Verify patient insurance benefits prior to appointments and ...
Quick apply
Be Seen First
Dental Practice Manager
Annapolis, MD · On-site
$23 - $30/hr (+ commission)
Oversee the full billing cycle: accurate coding, timely claim submission, payment posting, and follow-up on outstanding balances * Verify patient insurance benefits prior to appointments and ...
Freelance Insurance Claim Verification information
What is freelance insurance claim verification?
Freelance insurance claim verification involves independently assessing and validating insurance claims on behalf of insurance companies or third-party administrators. Freelancers in this role review documentation, interview claimants or witnesses, and ensure that claims are legitimate and comply with policy terms. They may handle claims related to health, auto, property, or other types of insurance, providing objective reports to help insurers make informed decisions. This work allows flexibility and can often be done remotely, depending on the case requirements.
What are the key skills and qualifications needed to thrive as a freelance insurance claim verification specialist?
To thrive as a Freelance Insurance Claim Verification Specialist, you need a solid understanding of insurance policies, claims processing, and investigative techniques, often supported by prior experience in insurance or a relevant certification. Familiarity with claims management software, databases, and digital communication tools is crucial for efficient verification and reporting. Strong attention to detail, analytical thinking, and clear written communication set top performers apart in this role. These skills ensure accurate, timely verification of claims, reducing fraud and supporting fair outcomes for clients and insurers.
What are some common challenges faced by freelance insurance claim verification professionals, and how can they be managed?
Freelance insurance claim verification professionals often face challenges such as gathering comprehensive documentation from clients, verifying information accuracy remotely, and managing tight deadlines from multiple clients. To overcome these challenges, it's important to establish clear communication channels with both clients and claimants, use secure digital tools for document collection, and maintain an organized workflow to prioritize tasks effectively. Building strong relationships with insurance adjusters and staying updated on industry regulations can also help streamline the verification process and ensure accuracy.
What are popular job titles related to Freelance Insurance Claim Verification jobs in Washington?
For Freelance Insurance Claim Verification jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Freelance Insurance Claim Verification jobs in Washington look for?
The top searched job categories for Freelance Insurance Claim Verification jobs in Washington are:
What cities in Washington are hiring for Freelance Insurance Claim Verification jobs?
Cities in Washington with the most Freelance Insurance Claim Verification job openings:
Full-time
Posted 23 days ago
Medstar Health rating
7.8
Based on 240 frontline employees who took The Breakroom Quiz
134th of 898 rated healthcare providers
Job description
About the Job
General Summary of Position
Evaluates financial status insurance/compensation coverage and resources of Bone Marrow and Stem Cell Transplant candidates and patients. Assists in insurance pre-authorization process for transplant services. Serves as a key resource in assuring the maximum reimbursement to the institution for required services and in assisting BMT patients to obtain resources to assure the standard of care necessary to maximize transplant success. Coordinates opportunities for reduction of costs and makes recommendations for continuous quality improvement initiatives These functions are performed in accordance with Georgetown University Hospital's (GUH) philosophy policies procedures and standards.
Primary Duties and Responsibilities
In conjunction with medical staff develops letters of necessity cost/benefit analysis and information requirements of third party payors to help assure maximum consideration for reimbursement. Participates actively in education and outreach programs to insurance companies to affect positive responses to requests for reimbursement. Verifies insurance benefits and compensation charges by contacting insurance companies and employers to determine necessity for advance deposits co-payments and deductibles. Identifies payor needs and information deficits and coordinates the provision of information to facilitate reimbursement. Performs insurance verification process on all third party payers. Obtains initial and subsequent pre-authorization for services and surgeries. Re- verifies benefits and obtains authorization and/ or referral after treatment plan has been established. Interviews candidates to determine their insurance coverage and potential eligibility for insurances/programs to expedite payment for Bone Marrow Transplant Services; ensures the completion of appropriate documents to assist in obtaining reimbursement. Provide a treatment plan overview of covered and non-covered services as it relates to the patients insurance coverage and /or self-pay responsibility. Maintains financial references including: guidelines for reimbursement state and federal regulations payor-specific reimbursement policies. Establishes and maintains regular contacts with agencies offering financial aid; develops efficient processes/procedure for candidates to follow to complete the application process Adhering to GPG GUH and departmental policies and procedures will access patient Medical Records / Electronic Health Records (MR/EHR) for work related activities only to complete proper patient documentation in the health record or to view needed information in the patient chart as necessitated by job role or function. Adheres to most current work flows or processes developed within GPG or department. Assists in the supervision of the Scheduler Front Desk Administrative Support and Department Pre-certification / Authorization staff utilization of MR / EHR ensuring protocols are followed. Monitors staff phone notes prescription requests and other EHR updates for timeliness and appropriateness. Maintains continuous contact with MGUH departments (e.g. Admitting Utilization Review Social Work Managed Care Patient Financial Services and Contracting) to assure that the proper pre-admission and pre- certification requirements are followed. Assists patients with inquiries regarding financial/insurance issues through data collection assessment and follow-up activities. Identifies appropriate resources to handle problems and complaints effectively. Prepares and presents individualized financial packets for candidates and explains all aspects to candidates so that it is understandable. Updates and maintains the respective file/record throughout the patient's involvement with MGUH. Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required. Coordinates the referral pre-certification and authorization process for department including staff adherence to all GPG GUH and Managed Care Department requirements and contracts to ensure all patient appointments/treatments and contracts to ensure all patient appointments have required approvals in advance of the appointment. Performs other duties and responsibilities that are appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as all inclusive. Minimal Qualifications
Education
This position has a hiring range of
USD $59,820.00 - USD $101,836.00 /Yr.
General Summary of Position
Evaluates financial status insurance/compensation coverage and resources of Bone Marrow and Stem Cell Transplant candidates and patients. Assists in insurance pre-authorization process for transplant services. Serves as a key resource in assuring the maximum reimbursement to the institution for required services and in assisting BMT patients to obtain resources to assure the standard of care necessary to maximize transplant success. Coordinates opportunities for reduction of costs and makes recommendations for continuous quality improvement initiatives These functions are performed in accordance with Georgetown University Hospital's (GUH) philosophy policies procedures and standards.
Primary Duties and Responsibilities
Education
- Associate's degree required or
- Bachelor's degree a Baccalaureate degree in Health Services Administration Finance or healthcare related field preferred
- 3-4 years Work experience in patient billing and/or insurance claim verification required
- 1-2 years Experience with claims processing/reimbursement utilization review or case management preferred
- Certified as a Transplant Financial Coordinator preferred obtain this certification within one year of hire. within 1 Year preferred
- Excellent interpersonal & communication skills;
- high level of competence in customer relations in a professional environment;
- ability to prioritize organize work and be self-directed;
- ability to work as a member of a team;
- able to work in stressful situations; good problem-solving skills
This position has a hiring range of
USD $59,820.00 - USD $101,836.00 /Yr.
What Medstar Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Medstar Health
Sourced by ZipRecruiter
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Columbia, MD, US