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Medical Insurance Verification Specialist

Core Medical & Wellness

Join a busy pain management practice as an Insurance Verification Specialist responsible for verifying patient coverage and ensuring insurance requirements are completed before scheduled procedures and injections.

You will work closely with providers, medical assistants, scheduling staff, billing staff, insurance representatives, attorneys, and adjusters to manage insurance verification, authorization follow-up, and related administrative tasks.

This role focuses on pain management services, including procedures and injections, and requires strong knowledge of CPT codes, prior authorization processes, and insurance requirements. Experience with auto/PIP claims, arbitration, and NSA-related processes is highly preferred.

Schedule

  • Full-time, 40 hours per week
  • Monday through Friday, 9:00 AM to 5:00 PM
  • Wednesdays may require an earlier start time as early as 6:30 AM based on procedure center needs

Work location

  • In person
Requirements & Qualifications

The ideal candidate will have:

  • Previous experience in insurance verification, medical billing, authorizations, or a medical office
  • Strong knowledge of CPT codes and medical terminology
  • Experience verifying benefits for procedures and injections
  • Knowledge of prior authorizations and precertifications
  • Experience with auto insurance/PIP and arbitration preferred
  • Knowledge of NSA processes preferred
  • Strong attention to detail and organizational skills
  • Excellent communication and follow-up skills
  • Ability to work independently and manage multiple tasks and deadlines
  • Professional communication skills when working with insurance companies, attorneys, adjusters, patients, and medical staff
  • Ability to maintain accurate and detailed records
  • Dependability and ability to work a full-time schedule

Location

New Jersey, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 month ago

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