Medicare Insurance Verification Specialist, Home Care & Compliance
Overview
Owns insurance verification for Medicare home care at scale, ensuring timely authorizations and accurate billing. The role partners with clinical and administrative teams to streamline Medicare guidelines and payer requirements. You’ll work in a small, collaborative team in Livonia, MI focused on compliant, patient-centered service. This role stands out through close cross-functional collaboration and a strong emphasis on accuracy and regulatory adherence.
What You'll Do6
- 1Build and coordinate insurance verification workflows with providers and internal teams to secure proper authorization
- 2Design and maintain accurate records of verifications and communications to support compliant billing
- 3Lead communications with clients and families to explain benefits related to home care under Medicare
- 4Partner with clinical staff to align service delivery with payer requirements and clinical plans
- 5Own documentation quality and audit trails to ensure regulatory compliance and readiness for audits
- 6Drive improvements in verification turnaround times and reduce claim denials through proactive follow-ups
Requirements5
- 1Knowledge of Medicare policies, insurance verification processes, and home care regulations
- 2Experience working with insurance companies and handling verifications in a healthcare setting
- 3Strong organizational and communication skills
- 4Ability to work independently and as part of a team
- 5Proficient with electronic health records and related software is a plus
Salary Insight
Salary not disclosed in listing
Location
Required Skills
Similar open positions
Explore active roles that match your skills and interests.
Optimal Care
VerifiedBilling Coordinator, Healthcare Billing & Support in Home Health
Lead healthcare billing operations to ensure accurate claim submission and timely reimbursement at a clinician-owned organization that values growth and collaboration. You will work with clinical, operational, and finance partners to resolve payer issues and improve billing outcomes at our Bingham Farms site. This role combines detail orientation, regulatory knowledge, and strong communication to support patient care delivery at scale. You will join a team focused on value, quality, and compassionate service.
Med-Metrix
VerifiedInsurance Verification Representative Med-Metrix
Own accurate insurance verification data for client systems while collaborating with cross-functional teams. Meet quality standards and maintain confidentiality under HIPAA guidelines. This role drives efficient claim processing through precise data management.
Henry Ford Health
VerifiedInsurance Specialist Remote Michigan
The Insurance Specialist will own patient financial records at Henry Ford Health ensuring accurate insurance details during admissions and outpatient visits. Responsibilities include verifying eligibility obtaining benefit information confirming referrals and resolving complex accounts. This role requires strong communication skills and ability to work in a fast-paced environment.
Rotech Healthcare Inc.
VerifiedCustomer Service Representative, Home Healthcare & Insurance Verification
You own patient intake and insurance verification for Rotech Healthcare Inc., a national leader in home medical equipment serving patients across 45 states. You coordinate with referral sources, verify Medicare, Medicaid, and private payers, and ensure seamless setup of respiratory products and durable medical equipment. As the first point of contact, you manage documentation like CMNs and SOPs while maintaining compliance with JCAHO standards. This role puts you at the center of patient care, directly impacting their ability to manage health at home.
Total Orthopedics & Sports Medicine
VerifiedInsurance Verification Specialist, Healthcare & Medical Billing
You will own insurance verification for Total Orthopedics & Sports Medicine across Long Island, ensuring every patient's coverage is confirmed before appointments. You will reduce claim denials and keep billing on track for a multi-location musculoskeletal care provider. Working with front desk, billing, and clinical teams, you will resolve coverage issues and educate patients on their benefits. Your precision and familiarity with NY insurance plans will directly improve patient experience and revenue cycle. This role stands out for its focus on accuracy and proactive problem-solving in a high-volume medical setting.
Rxadvance Corporation
VerifiedMedicare Billing & Enrollment Specialist | nirvanaHealth
The Medicare Billing & Enrollment Specialist leads enrollment and billing for Medicare Advantage Plans. This self-determined role drives operational excellence and member support within a fast-growing healthcare technology firm. You will own the end-to-end enrollment process while collaborating across teams to deliver accurate billing and seamless member experiences.