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Pre-Enrollment Specialist - Insurance - reputed company - Remote

Remote Worldwide Hiring now

Description:

  • HealthXL provides virtual patient care services under the guidelines of Medicare's Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs.
  • The Pre-enrollment Specialist (PES) position requires the ability to prioritize work and easily move between pre-enrollment activities.
  • The PES initiates outbound phone calls to insurance companies to verify coverage and eligibility for RPM/CCM, updates and maintains the insurance database.
  • A successful PES will exhibit excellent time management and communication skills.
  • Full and part-time remote positions available.
  • Maintains a thorough, up-to-date understanding of program (CCM/RPM) eligibility requirements.
  • Updates and maintains insurance database with verified, accurate coverages.
  • Initiates outbound calls to insurance providers to verify coverages not in the database.
  • Accesses multiple EMR platforms to verify patient eligibility for CCM/RPM.
  • Maintains accurate time keeping in reputed company.
  • Understands and follows reputed company applicable regulatory guidelines.
  • Adheres to company policies including Attendance and PTO.
  • Willingness to cross train in support of multiple Enrollment Services functions.
  • Attends scheduled meetings and trainings and participates as requested.

Requirements:

  • Familiar with insurance plans/verification processes in clinic setting
  • Training/experience with coding/billing helpful
  • Dependable, self-directed, ability to prioritize tasks, solid time management skills
  • Superior verbal communicator, remains positive and demonstrates reputed company
  • Demonstrated ability to reputed company accurate, thorough documentation
  • Ability to quickly learn and navigate multiple computer platforms
  • Experience working in EMRs preferred
  • Comfortable with reputed company spreadsheet data entry
  • Fluent communicating in English, additional language proficiency a plus
  • HIPAA compliant workspace
  • High speed Internet reputed company

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