The Medical Records & Insurance Verification Specialist is responsible for maintaining accurate patient records and ensuring insurance coverage is verified prior to services. This role supports efficient billing processes, compliance with healthcare regulations, and a smooth patient experience.
- Collect, review, and maintain patient medical records in electronic health systems (EHR)
- Ensure documentation is accurate, complete, and compliant with privacy regulations such as HIPAA
- Verify patient insurance eligibility, benefits, and coverage prior to appointments or procedures
- Communicate with insurance providers to confirm policy details, pre-authorizations, and referrals
- Update patient demographics and insurance information in the system
- Identify and resolve discrepancies in patient records or insurance data
- Work closely with billing and clinical staff to ensure proper documentation for claims processing
- Maintain confidentiality and security of patient information at all times
- Respond to patient and provider inquiries regarding records and insurance coverage
Requirements & Qualifications
- Medical records experience preferred: 1 year
- Knowledge of electronic health records (EHR)
- Familiarity with HIPAA and patient privacy requirements
- Ability to verify insurance eligibility, benefits, and coverage
- Strong attention to detail and communication skills
Location
Florida, US
Employment Type
Part-time
Experience Level
Entry Level
Remote work allowed
No
Posted
4 weeks ago