**Position Name**: Insurance Verification Specialist **Location**: Medellin, Colombia **English Level**: C1 - C2 **Schedule**: 7:00 AM - 5:00 PM until November. 8:00 AM 6:00 PM from November to March. On March it will switch back to 7:00 AM - 05:00 PM. **Experience**: - Proven experience in insurance verification and medical billing - Knowledge of LCD and medical coverage policies - Familiarity with HCPCS, ICD-10, billing modifiers and Medicare and applicable insurance regulations **Responsabilities**: - Manage accounts receivable efficiently by contacting insurance carriers to address claim denials and ensure timely payment processing. - Knowledgeable on insurance coverage and eligibility of benefits for patients. - Review fee schedules to ensure proper allowable amounts were paid in accordance with applicable reimbursement for medicare, medicaid, or commercial fee schedules. - Review and process medical documentation for accuracy and compliance - Handle medical billing tasks efficiently - Familiarity with HCPCS, ICD-10, and Medicare guidelines - Ensure proper coding of medical procedures - Collaborate with appropriate staff to resolve insurance-related issues **Skills and qualifications**: For this role necessitates exceptional organizational abilities, expertise in coding and relevant insurance laws for claim processing. - Multitasking skills. - Excellent communication skills. - Negotiation and conciliation skills. - Excellent customer service skills with an empathetic approach. Tipo de puesto: Tiempo completo, Indefinido