Insurance Verification - Maitland, FL

Join a workplace recognized by Newsweek as America's Greatest Workplaces for 2024 . Advanced Dermatology and Cosmetic Surgery’s mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services. We are currently seeking candidates who are focused, detailed, and resourceful to join our team as an Insurance Verification Specialist .

We strive to create a career destination that feels more like family than work. You will be working with a team of professionals for a well-known, highly regarded dermatology practice who puts our patients above all else . The Insurance Verification Specialist is responsible for verifying patients' insurance eligibility, benefits, and referral requirements before scheduled appointments and procedures.

This role helps ensure accurate coverage information, minimizes claim denials, and provides a seamless experience for patients and clinical staff.

KEY RESPONSIBILITIES

Verify patient insurance eligibility and benefits for office visits, procedures, surgeries, pathology, and other dermatology services. Determine patient financial responsibility, including deductibles, copays, coinsurance, and out-of-pocket maximums. Identify services requiring referrals and/or pre-certification Review payer-specific medical policies and coverage guidelines.

Contact insurance carriers via payer portals or by phone to obtain benefit and authorization information. Accurately document verification details and authorization information within the practice management Communicate insurance requirements, benefit information, and patient financial responsibility to front office and scheduling staff Resolve insurance discrepancies, eligibility issues, and registration errors prior to the patient's appointment.

Collaborate with scheduling, billing, front office, and clinical teams to ensure timely resolution of insurance-related issues. Maintain knowledge of commercial, Medicare, Medicaid, and managed care insurance plans, as well as payer-specific policies. Ensure compliance with HIPAA and all applicable payer and regulatory requirements.

QUALIFICATIONS

High school diploma or equivalent required; medical office or healthcare administration experience preferred. Minimum of 1–2 years of insurance verification experience in a medical practice, preferably dermatology or another specialty. Experience with electronic medical records and practice management software. Strong attention to detail, organizational skills, and ability to manage multiple priorities.

Excellent verbal and written communication skills. Proficient in Microsoft Office and insurance payer websites/portals. KEY SKILLS: Insurance eligibility and benefits verification Knowledge of dermatology procedures and payer requirements Problem-solving and critical thinking Time management and organization Accuracy in documentation and data entry Ability to work independently and as part of a team COMPENSATION AND BENEFITS (*Eligible for Full Time Employees): Benefits packages PTO/6 Paid Holidays/Floating Holiday/Vacation Time 401K ADCS Clinics LLC participates in equal employment opportunities for all individuals and abides by EEOC and nondiscrimination provisions of all applicable federal, state, and local laws and regulations.

All applicants must have authorization to work in the United States.