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Insurance Verification Associate Jobs in Maryland

NP On Call MD

Mental Health Front Desk

Baltimore, MD

$21 - $24/hr

This role is central to patient access, scheduling, and the accurate verification of insurance ... Required Qualifications * High school diploma or equivalent (Associate's degree preferred)

NP On Call MD

Mental Health Front Desk

Baltimore, MD · On-site

$21 - $24/hr

This role is central to patient access, scheduling, and the accurate verification of insurance ... Required Qualifications * High school diploma or equivalent (Associate's degree preferred)

MedStar Health

Office Assistant II

Baltimore, MD · On-site

$35K - $43K/yr

Performs insurance verification to ensure accuracy of clean claim(s) submission. Coordinates ... Directs guides and mentors associates to carry out tasks created by administrative leadership and ...

MedStar Health

Office Assistant II

Baltimore, MD · On-site

$35K - $43K/yr

Performs insurance verification to ensure accuracy of clean claim(s) submission. Coordinates ... Directs guides and mentors associates to carry out tasks created by administrative leadership and ...

MedStar Health

Office Assistant II

Timonium, MD · On-site

$34K - $42K/yr

Performs insurance verification to ensure accuracy of clean claim(s) submission. Coordinates ... Directs guides and mentors associates to carry out tasks created by administrative leadership and ...

Summit BHC

$36K - $41K/yr

Performs insurance benefit verifications, disseminating the information gathered to patients, their ... In some states, may also be a registered nurse, in which case, an associate's or bachelor's degree ...

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Insurance Verification Associate information

How do you become an insurance verification specialist?

To become an insurance verification specialist, candidates typically need a high school diploma or equivalent and should develop skills in insurance billing, coding, and customer service. Relevant certifications, such as the Certified Insurance Verifier credential, can enhance job prospects, and familiarity with electronic health record systems is often required.

What are the key skills and qualifications needed to thrive as an Insurance Verification Associate, and why are they important?

To thrive as an Insurance Verification Associate, you need strong attention to detail, knowledge of insurance policies and procedures, and typically a high school diploma or equivalent. Familiarity with insurance verification software, electronic health records (EHR) systems, and claims management tools is highly valuable. Excellent communication, problem-solving skills, and the ability to handle confidential information with discretion set top performers apart. These skills ensure accurate processing of patient insurance information, minimize billing errors, and support timely reimbursement for healthcare services.

What is the difference between Insurance Verification Associate vs Medical Billing Specialist?

AspectInsurance Verification AssociateMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefits before servicesProcess and submit medical claims for reimbursement
CredentialsHigh school diploma or equivalent; certifications like Certified Medical Administrative Assistant (CMAA) are commonHigh school diploma; certifications like Certified Professional Biller (CPB) are common
Work EnvironmentHealthcare offices, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Industry UsageUsed across healthcare providers to ensure insurance coverageUsed to handle claims processing and reimbursement

The Insurance Verification Associate focuses on confirming patient insurance details to ensure coverage before treatment, while the Medical Billing Specialist handles the claims process for reimbursement. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ in the patient verification versus billing process.

What is the highest paid position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Financial Officer (CFO) tend to be the highest paid. These positions require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy, underwriting, and financial management.

What does a verification associate do?

An Insurance Verification Associate reviews and confirms patients' insurance coverage and benefits to ensure accurate billing and claims processing. They typically communicate with insurance companies, verify policy details using specialized software, and maintain accurate records to support the healthcare or insurance team. Attention to detail and knowledge of insurance policies are essential for this role.

Is it hard to learn insurance verification?

Insurance Verification Associates typically learn the job through on-the-job training, and the process involves understanding insurance policies, billing procedures, and using verification tools or software. While some familiarity with healthcare or insurance terminology helps, the role generally does not require extensive prior experience and can be learned with practice and training.

What does an Insurance Verification Associate do?

An Insurance Verification Associate is responsible for confirming a patient's insurance coverage and benefits before medical services are provided. Their tasks include contacting insurance companies, verifying policy details, determining coverage limits, and ensuring that procedures are authorized. This role helps prevent billing issues and ensures that patients and providers understand what costs will be covered. Insurance Verification Associates play a crucial part in the healthcare revenue cycle by reducing claim denials and improving the patient experience.

What are some common challenges faced by Insurance Verification Associates, and how can they be overcome?

Insurance Verification Associates often encounter challenges such as navigating complex insurance policies, handling discrepancies in patient information, and managing high call volumes with insurance companies. To overcome these, associates should develop strong attention to detail, effective communication skills, and proficiency with insurance databases and electronic health record systems. Staying organized and keeping up-to-date with insurance policy changes also helps ensure accurate and timely verification, which ultimately supports smooth patient billing and care processes.
What are the most commonly searched types of Insurance Verification jobs in Maryland? The most popular types of Insurance Verification jobs in Maryland are:
What are popular job titles related to Insurance Verification Associate jobs in Maryland? For Insurance Verification Associate jobs in Maryland, the most frequently searched job titles are:
What job categories do people searching Insurance Verification Associate jobs in Maryland look for? The top searched job categories for Insurance Verification Associate jobs in Maryland are:
What cities in Maryland are hiring for Insurance Verification Associate jobs? Cities in Maryland with the most Insurance Verification Associate job openings:
Insurance Verification Associate jobs near you
Patient Accounts Receivable Representative I

Patient Accounts Receivable Representative I

University of Maryland Medical System

Linthicum Heights, MD • Hybrid

$19.50 - $27.31/hr

Full-time

Posted 18 days ago

Job description

Job Requirements

Patient Accounts Receivable Representative I

This position is hybrid - you may be required to go on site to 900 Elkridge Landing Rd, Linthicum Heights, MD 21090 

Monday - Friday

Under general supervision this position supports the vision and mission for the University of Maryland Medical Systems, a multi-billion dollar, regional healthcare facility. Expectations include, but are not limited to, Insurance verification, evaluating financial responsibility of patients, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, utilizing all possible means to resolve accounts, which include contacting patients, insurance companies and other departments. Assists the department by organizing collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated care.

  • Works and maintains assigned receivables through work queues, age trail balance reports (ATB's), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
  • Works with third party insurances to obtain maximum level of cash to reduce receivable.
  • Reviews financial references, including guidelines for reimbursement, state and federal regulations, payer-specific reimbursement policies, procedures.
  • Ensures correct processing of outstanding insurance claims by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.

Work Experience
  • High School Diploma or equivalent (GED)
  • 1 year work experience in general collections, accounts receivable oversight or customer service
  • Preferred
  • Associates degree in healthcare; courses in Accounting, Finance, Business Administration and/or Healthcare Administration 
  • Familiar with EPIC HB module
  • Institutional and/or Professional Healthcare Collections 
  • Basic knowledge of insurance billing, collections, insurance or medical terminology; including CPT, ICD-10, HCPCS coding, EOB/EOP

Work Experience

All your information will be kept confidential according to EEO guidelines.

Compensation:

  • Pay Range: $19.50 - $27.31
  • Other Compensation (if applicable):

Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.


Employment Type: FULL_TIME

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