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Job description
Medical Insurance Claims SpecialistWe are looking for a detail-oriented Medical Insurance Claims Specialist to support a fast-moving admissions environment in Wernersville, Pennsylvania. This long-term contract position focuses on confirming insurance coverage, reviewing benefit details, and communicating findings that help determine treatment access. The ideal candidate is comfortable managing a high volume of requests, navigating payer portals, and following up directly with insurance carriers when additional clarification is needed.Responsibilities:Review incoming admission-related requests and confirm insurance coverage, benefit levels, and eligibility details for prospective patients.Access multiple payer systems and online resources to gather accurate policy information and document findings clearly for the admissions team.Communicate deductible, coverage, and benefit information promptly so teams can make informed decisions about treatment coordination.Contact insurance providers by phone when portal information is incomplete, inconsistent, or requires confirmation.Partner closely with admissions and call center staff to support timely responses in a high-volume, fast-paced setting.Perform ongoing reverification of existing cases throughout the week to ensure coverage information remains current and accurate.Manage a steady workload of insurance reviews each day while maintaining attention to detail and turnaround expectations.Record verification outcomes thoroughly and escalate discrepancies or unresolved issues to the appropriate internal contacts as needed.
Worksite address
wernersville, PA, 19565, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.