Insurance Specialist

Location
01363 - Albany

About the Organization


Lifeline Vascular Care works with premier physician practices to develop and manage outpatient centers that provide focused and coordinated vascular access procedures to patients receiving hemodialysis treatment for end-stage renal disease (ESRD). We currently manage more than 40 physician-owned vascular access centers where we provide physician practices with financial and outcomes reporting, staffing and training, facility operations, regulatory compliance, and insurance billing services. The Lifeline network of managed vascular access centers is accredited by the Joint Commission.
Through our relationships with nephrologists, vascular surgeons, interventional radiologists and interventional cardiologists, we create and fortify environments in which these crucial services are delivered both seamlessly and efficiently. By delivering care in this manner, patients receive proactive care, early intervention and are able to maintain a quality of life that is all too often compromised by disease.
By exceeding industry clinical standards for quality care and having the best patient outcomes in the nation, we achieve a high level of clinical credibility that assures patients and practices that our centers are best in class.

We offer a competitive salary, comprehensive benefits package, continuing education support, and tuition reimbursement. We maintain a drug-free workplace and perform pre-employment substance abuse testing and background checks. We are proud to be an EEO/AA employer M/F/D/V.

Visit our website at .

Description


Insurance Authorization Specialist

At Lifeline Vascular Care, we provide the highest quality, most comprehensive and up-to-date care for our patients. Our employees are talented, passionate health care professionals who know how to provide excellent patient care and customer service. We look for people who have a strong work ethic with a positive outlook and team-work attitude with the skills to match.

We are seeking a qualified Insurance Authorization Specialist for immediate placement in our Vascular Access Center, located in Albany, GA.

The Insurance Authorization Specialist will verify patient insurance coverage, obtain pre-authorizations and Primary Care Provider referrals, schedule patient appointments, coordinate the patient intake process and provide administrative support to the center. This is a challenging, fast-pace job with Monday to Friday schedule, NO nights and weekend shifts. Access Center hours Monday - Friday, 7 am to 4 pm. Our employees enjoy a great work/life balance and a supportive team environment.

We offer competitive pay commensurate with experience and an excellent benefits package including the following:

Health, Dental and Vision Insurance

Basic Life and Disability Insurance

Whole Life, Group Accident and Hospital Indemnity

Flexible Spending Account or HSA available

401(k) with Employer match

Paid Holidays and a generous Paid Time Off Plan

Employment at Lifeline Vascular Care is contingent on successful completion of pre-employment screening and background check.

Responsibilities and Duties:

Verifies insurance eligibility, obtains PCP referrals and authorizations for each insurance the patient has in advance of every appointment and documents communication with insurance companies in the scheduling system.

Correctly selects appropriate insurance payors in the patient's electronic chard and prioritizes accurately for billing. Works closely with the ROPS department on billing.

Verifies and enters accurate patient demographic information into the scheduling system.

Performs re-authorization and eligibility checks in a timely manner.


Communicates and documents information regarding change in authorization and eligibility.


Monitors and ensures all client authorization of services are current and quantity and type of services provided meet payer requirements.

Reviews and ensures appropriate processing of authorizations.

Schedules appointments to maximize patient service and optimize patient schedule. Prioritizes incoming referrals and accommodates same day emergency add-on procedures. Provides appointment reminder calls in advance of appointments and track no-show or cancellations. Completes patient registration and check-in procedures.

Performs administrative support activities including answering and routing calls, correspondence, filing, faxing, mailing

Participates in community education activities and programs

Other duties as assigned.

Assist in scheduling patients for vascular access procedures

Participate in community education activities regarding the Access Center

Experience:

Insurance Authorization Specialists : 2 years (Preferred)

Lifeline provides equal employment opportunities (EEO) to all employees and applicants for employment regardless of race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Lifeline Vascular Care complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Please submit resume on our online application site.

Requirements:

High school Diploma Required

At minimum 2 years of previous experience in insurance verification and authorizations required

Must have knowledge of CPT, HCPCS, ICD-10 codes

Knowledge of third party payer regulations including Medicare, Medical, Veteran Affairs (VA) and private insurance.

Working knowledge with insurance verification, components to include: insurance portals, verification and collecting co-pays

Exceptional attention to detail, strong organizational skills and the ability to work independently with minimal supervision.

Demonstrates ability to make appropriate judgements as it relates to the payer authorization process.

Intermediate to advanced computer skills and proficiency in MS Word, Excel and Outlook

Ability to multi-task and manage time to complete various duties with busy in-coming phone lines and hold times with insurance companies

Provide exceptional customer service

Ability to deal with confidential information and issues involving discretion and judgement

Works with others in a cooperative and supportive manner

Displays patience and compassion in all customer interactions

Position Requirements

• Highschool Diploma Required
• One year experience in a healthcare or medical billing office
• Intermediate to advanced computer skills and proficiency in MS Word, Excel and Outlook
• Ability to multi-task and manage time to complete various duties with busy in-coming phone lines and hold times with insurance companies
• Provide exceptional customer service
• Ability to deal with confidential information and issues involving discretion and judgement
• Works with others in a cooperative and supportive manner
• Displays patience and compassion in all patient interactions

Full-Time/Part-Time
Full-Time

Exempt/Non-Exempt
Non-Exempt

Req Number
CLI-24-00098

Open Date
10/3/2024

EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.


This position is currently accepting applications.