Insurance Verification Specialist (Remote)

Job Details:-

This is a job posting from company – Hazel

Employment TypeFull Time

Work Hours: 8

Salary: $20 To $30/An Hour

Location: California, USA

This job is 100% remote.

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Hazel Health, the national leader in school-based telehealth, was founded in 2015 to address systemic inequities in healthcare access, and ensure all children can get the quality care they need and deserve. We leverage digital health technology to provide on-demand physical and mental health care services to over 2 million students in school districts across the country.

Physical and mental telehealth has become more relevant in the lives of children than ever before. Hazel is experiencing tremendous company growth as we respond to our nation’s call for equitable, affordable, and safe virtual access to healthcare.

We are a mission-driven team of healthcare and business leaders, educators, and tech innovators, bringing together our unique skills in a meaningful way to do good in the world. Please consider joining us to share your gifts and talents with a growing and diverse organization, working to make healthcare available to all students.

The Role: Insurance Verification Specialist

Location: Remote

About This Role:

With our continued growth, we are seeking an Insurance Verification Specialist to join our growing Revenue Cycle Team. The primary responsibility of the Insurance Verification Specialist is to assist with pre-authorization of insurance coverage, eligibility, and benefits by calling insurance companies manually or through the insurance verification website. This role requires an Insurance Verification Specialist with multi-state par and non-par experience as well as multi state Medicaid and Managed Medicaid experience.

What You’ll Do:

  • Verifies detailed insurance benefits, medical necessity, and authorization/referral guidelines, consistently prioritizing and following the established verification process
  • Read and interpret insurance Explanations of Benefits (EOB)/Remittance Advice (RA) with understanding and take appropriate steps to resolve issues.
  • Obtain patient responsibility, research payer coverage criteria and any required prior authorization requirements
  • Verify all information obtained is correctly documented in the patient’s account, in the correct format.
  • Contact client to obtain the correct insurance information
  • Obtain pre-authorizations as needed
  • Communicate with insurance providers via phone and electronically via web portals to validate patient benefits, check authorization requirements, and review authorization status.

Your Background:

We are looking for diverse individuals who want to support our mission and values. Please consider applying even if you don’t fully meet 100% of these criteria.

  • Passionate for our mission to transform healthcare for all children
  • 2+ years experience in insurance verification with experience in Medicaid, Managed Medicaid and commercial payors.
  • 1+ years or more experience with Google Suites (gsheets, google docs)
  • 1+ years experience with Change Healthcare or other online eligibility healthcare tool
  • Experience navigating Medicaid state and commercial insurance portals
  • Competency in customer relationship skills
  • Ability to understand how job performance affects the outcomes of key performance indicators such as denials and write-offs.
  • 2+ years / Associate Degree, preferred

Hazel’s Core Values:

  • Exceptional Partnership: We seek to understand, align, and then work to exceed the highest expectations of those we serve.
  • Always Accountable: We set high standards for ourselves and each other and deliver. We do what we say we are going to do.
  • Make it Happen: Every teammate has the power and responsibility to make our company better. We are collectively imagining and building the product and company of our dreams.
  • One Team: Our success is driven by building relationships and collaborating across teams, geographies and functions. Bringing in diverse perspectives and understanding everyone’s personal story drives to transformative solutions.
  • Never Stop Innovating: We are bold. Our goal is to make transformational change. Sometimes we will fail, and we use it to learn and drive forward.
  • Drive Impact: Everything comes down to the impact Hazel makes on people – our families and students, our teammates, our partners, our neighbors, ourselves.

Our Benefits:

This is an exciting position in a fast-paced organization. We offer:

  • Starting salary range of 48,000 annually
  • Flexible work hours
  • Generous, high-quality medical, dental and vision coverage on day one of employment
  • 401K with a 100% employer match for contributions up to 4% of salary
  • 15 days PTO and 11 paid holidays annually
  • Flexible Spending Account (FSA)
  • Employer-paid short-term and long-term disability and employer-sponsored life insurance
  • Home office setup including a Macbook, iPad (depending on role), and internet and phone reimbursement for remote positions
  • A positive, supportive, and passionate team

Our Stance On Diversity:

At Hazel, we don’t just accept differences-we thrive on them. We recognize that having diverse perspectives and backgrounds among our teammates makes our company, our solutions, and our service to families and schools stronger. We are committed to making Hazel an inclusive work environment and helping all staff grow professionally.

Hazel is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, national origin, sex, gender identity, sexual orientation, age, marital status, disability status, or Veteran status.

All offers of employment are conditioned on a candidate’s consent to a background check and our satisfaction with the results. Qualified candidates with arrest and conviction records will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

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Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Hazel Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

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If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

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