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Insurance Verification Specialist Job in Arlington, Virginia

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Job Title: Insurance Verification Specialist

Employer:Kerecis LLC
Skills:data entry,medical billing,insurance verification,health insurance,HIPAA,Medicare,prior authorization,medical terminology
Specialties:medical devices
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location:2300 Clarendon Blvd Arlington 22201, VA, US
Date Posted:2/25/2021

Kerecis (www.kerecis.com) is a biotechnology company that is pioneering the use of fish skin and fatty acids in the globally expanding cellular therapy and regenerative medicine market. The fatty-acid-rich products from the company’s patented technologies protect the body’s own tissues and enable the body to regenerate tissues.


Kerecis seeks a highly motivated Insurance Verification Specialist to perform detailed insurance benefit verifications while effectively communicating with patients/families, physicians, and third-party payers. The ideal candidate has strong knowledge of government and private pay reimbursement dynamics, demonstrated success in healthcare admission intake and an understanding of medical insurance policy and reimbursement processes. We seek someone who thrives in a dynamic, fast-paced environment and will represent Kerecis in a competent, professional and responsive manner.


The Insurance Verification Specialist is a part of the Customer Operations Department in the Arlington, Virginia, office and reports directly to the Customer Operations Manager.


Essential Functions

  •        Protect confidential patient health information (PHI) at all stages of the verification of benefits process
  •        Perform detailed verifications of benefits for patients seeking treatment with Kerecis products
  •        Obtain patient responsibility, research payer coverage criteria and any required prior authorization requirements
  •        Track tasks, review reports for accuracy and completeness, prepare and send insurance benefit verification results to healthcare providers on deadline
  •        Report and resolve any payer delays/challenges and/or escalated complaints
  •        Collaborate with Market Access and Reimbursement teams
  •        Develop productive working relationships with the U.S. Direct Sales team to coordinate support to healthcare providers and patients



  •        Exceptional customer service abilities
  •        Confidentiality
  •        Accountability
  •        Strong critical-thinking skills
  •        Excellent communication skills
  •        Proficiency in Microsoft Office Suite
  •        Flexibility
  •        Time management
  •        Consistency in a fast-paced environment
  •        Adherence to high standards and accuracy
  •        Honesty and integrity


Education & Experience


  •      Bachelor's degree with 2 years relevant experience, or high school diploma with minimum 6 years of relevant experience, required
  •        Medical billing and/or coding experience
  •        Functional knowledge in reimbursement and healthcare policy
  •        Customer Service


Please apply directly through this link: https://recruiting.paylocity.com/recruiting/jobs/Apply/383914/Kerecis-LLC/Insurance-Verification-Specialist

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