Job Description
Job Description
Description :
Join the Winning Team!! Insurance specialists wanted for a busy medical practice. Candidates should have a positive attitude, strong work ethic, and be a team player.
Hours :
Monday-Friday 7 : 30am- 4 : 30pm
Essential Functions :
- Verifies insurance eligibility and benefits of prospects / referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner
- Communicates patient benefits in a timely manner using the appropriate systems and associated software application as found in patient notes, tasks, workflow, email and or phone calls
- Documents and forwards patient deductible, out-of-pocket expense, life-time maximum, and patient responsibility to agency in an accurate and timely manner
- Reviewsand replies to urgent requests in a timely and accurate manner
- Obtains all authorization as needed from payer for services ordered / requested in a timely manner
- Documents specific details related to the authorization including effective and end dates using the appropriate system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and / or email
- Maintain patient confidentiality, HIPAA compliance
- Serves as a liaison between the clinic and the payer on a regular basis
- Coordinates and communicates within regarding any changes or updates from the payer in a timely manner
- Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner
- Problem solves independently before referring issues to the Supervisor / Manager for resolution
- Performs eligibility and or similar, comparable, or related duties as may be required or assigned
- Adheres to policies / procedures of organization
- Ability to maintain regular attendance is an essential function
- Attend meetings as required
Requirements :
Successful Candidate Should Possess :
- High-School Diploma with additional certifications and / or experience
- Basic and advanced insurance knowledge (plans, copays, deductibles, coinsurance, etc.)
- Medical billing / coding experience
- Medical procedure authorizations experience or ability to learn
- Excellent oral and written communication skills
- Excellent organizational / time management and analytical skills
- Intermediate to advanced computer skills
- Mathematical aptitude
- Self-starter, Team player
- Ability to prioritize workload and multi-task
- Attention to detail
- Demonstrated ability to work independently and as a team player
- Punctuality, Reliability and Honesty
- Positive, pleasant attitude, neat appearance and flexibility
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