New 
Medical Biller
 Quadrant, Inc. | |
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 Jul 22, 2025 | |
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Medical Biller - Insurance Verification Specialist Largo, MD Pay From: $21 per hour MUST: The Patient Benefit Representative (Insurance Verification Specialist) must have experience with: High school diploma or equivalent required Strong experience verifying insurance coverage and reviewing coverage with patients Minimum three (3) years patient pre-services coordinator or equivalent required Proficiency with computer systems and MicroSoft Office (Word and Excel) required Demonstrate knowledge of CPT coding and HCPS coding application Must be able to verbally communicate clearly and utilize the appropriate and correct terminology DUTIES: Responsible for educating patient on insurance coverage and benefits Assess patients financial ability; may educate patient on assistance programs Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses Assess patients ability to meet expenses and discusses payment arrangements Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form Completes appropriate reimbursement and liability forms for patient*s review and signature Forwards appropriate information and forms to billing office Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs) Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records Maintains updated manuals, logs, forms, and documentation Performs additional duties as requested Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. "Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act". | |