Insurance Eligibility Assistant

Job Description

Job Description

Job Type: Full-time

Pay: From $21.00 - 25.00 per hour

Work Location: In person

 

Job Description

Alliance Health Services is dedicated to providing innovative, quality, and cost-effective home health services to patients in their homes involving families that require skilled nursing, rehabilitative, and support services.

Responsibilities

The position will entail the timely submission of authorization requests to assigned payers. Submission of requests will be completed using paper forms, printed documentation, fax, payer portals, or other means. Complete follow-up on requests to ensure timely turnaround and approval. Understand payer requirements to ensure approval is granted. Escalate problem accounts and ensure resolution. Regular contact with patients, insurance plans, physician offices, respiratory therapists, and other personnel is necessary.

Duties

• Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
• Verify insurance eligibility; contact patients and departments with any negative outcomes
• Assist billing with claims issues due to insurance authorization denials
• Work closely with the clinical teams and referral sources regarding current and future authorization needs
• Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization
• Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers
• Follow approved guidelines and policies regarding routine patient and payer interactions
• Negotiate payment reimbursement from a patient and third-party payers
• Other duties as assigned

 

Benefits:

• 401(k)
• Health insurance
• Dental
• Vision
• Holiday

 

Requirements:

• Minimum of 1 year of experience in an insurance benefits coordinator role; preferably in a home health setting.
• Communicate clearly and concisely, both orally and in writing, including the ability to follow a written script, submit comprehensive summary reports and other written materials.
• Organize and maintain extensive records, research and compile information, and have the ability to multi-task in a fast-paced environment.
• Strong technical aptitude to not only operate standard office equipment but also relevant software such as Microsoft Word, Excel, Outlook, EMR & Practice Management Systems and other applications.
• Plan, organize, prioritize, and perform duties in accordance with department policy and procedure as assigned with minimal supervision.
• Establish and maintain effective working relationships with our patients and all levels of staff
• Minimum of 1 year of experience using EMR softwares
• Medical billing: 1 year (Required)

Education:

High school or equivalent (Required)