Insurance Verification Specialist

Insurance Verification Specialist – Job Description 

Employment Type: Full-time, non-exempt 
Level: Entry/ Associate 
Location: Remote, Minneapolis Metro 
Compensation:  $17 - $22 an hour, dependent on relevant experience 

Who we are:  

At Herself Health, we're on a mission to help women get more life out of life, together. We are building a new model of primary care for women 65+ to solve long-standing problems: rushed appointments, long wait times, and care that's generalized rather than specialized towards women’s needs later in life such as post-menopausal care, bone density, weight management, and mental, social and emotional well-being.  

Our patient-centric Primary Care clinics are dispersed across Minneapolis/St. Paul, MN. We are thrilled to serve the Twin Cities metro in our clinics located in Highland Park (St. Paul), Crystal, and South Minneapolis with new clinics launching soon in both Rosedale and Eagan. Our team of 100+ colleagues is on a mission to innovate the primary care landscape for women 65+. We’re seeking like-minded individuals who share in this passion to join us! 

About you: 

As we grow our early team, we are seeking strategic thought leaders who have a passion for building and innovating. We foster a culture of collaboration, excellence and the willingness to roll up our sleeves and learn as we grow. We have a customer first mindset, and we are looking for team members who share that. Our ideal candidates have strategic prowess and the ability to use data to build best practices and implement great ideas in collaboration with our team and our community.   

About the Insurance Verification Specialist Role:  

Provides support to medical billing staff. Clarifies and verifies details of insurance coverage with private or government carriers. Involves using all available resources to determine insurance eligibility (e.g. system, web portals, phone) and demands top customer service and problem-solving skills in working with physicians, claims processors, medical billers and patients. 

• Investigate insurance eligibility verification issues
• Correct insurance package selection to ensure correct classification of insurance product (Medicare, Medicare Advantage, Medicaid, Commercial)
• Verify primary care choice with VBC plans
• Assist staff with insurance coverage questions
• Verify copay/coinsurance/deductible amounts if applicable
• Assist RCM staff with any eligibility issues identified
• Help identify AWV eligibility dates or update according to claims data
• Assist front of house with PCP change requests in addition to verify completed by plan
• Other duties as assigned 

Must-have Qualifications and Skills: 

• High school diploma or GED certificate
• Medical office or billing experience (at least 1 year)
• Phone communication skills
• Must be detail-oriented and able to efficiently complete a high-volume of tasks using many sources
• Excellent documentation skills required
• Clear and concise communication using e-mail, Microsoft Teams and/or phone
• Meet productivity standards as determined by department 

Nice-to-have Qualifications and Skills: 

• Knowledge of CPT codes and basic medical terminology (preferred)
• Previous experience communicating with insurance carriers
• Knowledge of Medicare, Medicare Advantage, Medicaid and Commercial payors 

We support Equal Employment Opportunities (EEO). We are committed to an inclusive workplace. We do not discriminate on the basis of race, religion, color, national origin, gender identity or expression, age, marital status, veteran status, disability status, parental status, political affiliation, or any other status protected by federal, state, or local laws.