Description
About Us
Pinnacle Fertility is the nation's fastest-growing physician-centric fertility care platform, supporting high-performing fertility clinics and comprehensive fertility service providers nationwide. Under a united mission of fulfilling dreams by building families, Pinnacle clinics offer innovative technology and processes, compassionate patient care, and comprehensive fertility treatment services, ensuring families receive a high-touch experience on their path to parenthood. Learn more at www.pinnaclefertility.com.
We are seeking a detail-oriented and highly skilled Insurance Verification Specialist to join our team. This individual will play a critical role in verifying patient insurance coverage, benefits, and eligibility to ensure accurate billing and minimize claim denials. The ideal candidate has strong attention to detail, excellent communication skills, and a deep understanding of insurance processes within the healthcare industry.
This is a full-time, remote position.
Key Responsibilities
- Verify patient insurance eligibility and benefits using online portals and phone inquiries, including for clinics with an ambulatory surgical center.
- Collect and accurately enter insurance information into the system.
- Assist clinic staff with patient insurance coverage and benefits inquiries.
- Calculate patient financial responsibility based on insurance coverage and communicate with patients via SMS.
- Communicate with insurance companies to obtain necessary verification details.
- Maintain organized records of insurance verifications and follow up as needed.
- Stay informed about insurance policies and procedures to enhance support for patients and staff.
- Provide guidance and support to team members, assisting with their development and knowledge of insurance processes.
- Stay current on industry trends, regulatory changes, and evolving insurance policies to enhance service quality and compliance.
- Other duties assigned
Position Requirements
- Minimum of 2 years of experience in an insurance verification role.
- High school diploma or equivalent required; or relevant certification preferred.
- In-depth knowledge of medical terminology and insurance processes.
- Familiarity with obtaining benefits for ambulatory surgical centers.
- Strong attention to detail and organizational skills.
- Excellent verbal and written communication skills.
- Proficiency in Microsoft Office Suite; experience with healthcare management software is a plus.
- Ability to work in a fast-paced environment and manage multiple tasks effectively.
Compensation & Benefits
- Salary Range: To be determined. Final offers will be based on experience, skills, and qualifications.
- Benefits: Comprehensive healthcare, dental, life, and vision insurance. Additional benefits include generous paid time off (PTO), paid holidays, and a retirement savings program. Further details will be provided during the interview process.
Diversity & Inclusivity at Pinnacle Fertility
At Pinnacle Fertility, we celebrate and value diversity. We serve everyone, regardless of gender, sexual orientation, race, ethnicity, or religion. Just as we embrace the diversity of our patients, we foster an inclusive work environment where team members feel supported and empowered. We are proud to be an equal-opportunity employer and encourage applicants from all backgrounds, abilities, and life experiences to apply.
