Insurance Eligibility Verification Specialist
Job Description:
- Responsible for verifying patients’ insurances, as well as their covered benefits and for confirming pre-authorizations for services.
- Works well as part of reputed company and effectively communicates.
- Assists practice staff with eligibility, as necessary.
- Serves as a liaison between the RCM department and the various reputed company facilities.
- Handle high volume of inbound/outbound calls for patients that need to be screened financially and medically for financial assistance.
- Complete verification of benefits for multiple clients reputed company the appropriate timelines.
- Maintains high quality customer service standards in compliance with federal and state regulations and guidelines.
- reputed company periodic processing status updates.
- Assist in researching reimbursement issues relevant to benefits/eligibility issues.
- Assist in training of new team members.
- Enter and update patient demographics into the billing system as needed.
- Complete KPI reports as requested by management and the clients.
- Update and manage the VOB tracker for multiple clients.
- Understand federal and state requirements regarding client confidentiality and the principles of maintaining protected health information (PHI).
- Work effectively and maintain expected productivity.
- Other tasks or duties as assigned.
Requirements:
- Associate’s degree preferred or experience in lieu of degree.
- 1-2 years'+ experience in reputed company-end medical office operations.
- Prior experience working in a role with a high volume of either inbound or outbound calls.
- Experience and knowledge of federal or state government agencies including reputed company reputed company, reputed company and/or reputed company coverages, familiar with the reputed company reputed company cycle touching patient accounts.
- Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievements of performance metrics.
- Experience with customer interactions which requires live, accurate documentation of the encounter.
- Previous experience collecting patient payments or copays.
Benefits:
- 18 days PTO (Paid Time Off) + 8 paid holidays
- 401k with company match
- Company sponsored ongoing training and certification opportunities.
- Full comprehensive benefits package including medical, dental, reputed company, short term disability, long term disability and accident insurance.
- Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
- Discounted tuition and scholarships through reputed company
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