Insurance Verification

Express Employment Professionals Defunct

Job Full Description

The Insurance Verification Specialist is responsible for insurance verification for clinic and outpatient surgery appointments, ability to counsel patients regarding their financial cost share for procedures and collecting payment prior to procedures.

Job Responsibilities:

Adds or updates patient insurance primary and/or secondary insurance in EHR
Verify patient eligibility via payer websites or telephone to determine coverage of benefits and to calculate patient responsibility for services scheduled

Enter insurance referrals as needed
Maintains confidently by adhering to all HIPAA guidelines and regulations
Obtain insurance authorizations
Obtain insurance referrals

Job Skill & Qualifications:

Solid understanding of medical insurance including deductibles, copay and coinsurance is highly preferred
Experience with verifying and interrupting medical befits for Medicare, Medicaid and major commercial health insurance and secondary payers required
Experience processing provider referrals and prior authorization requests
Understanding of medical terminology and ICD-10 codes and Diagnosis
Familiar with individual payer guidelines and authorization/referral requirements based on insurance plans and if needed communicate with insurance companies via phone and/or website to provide any supporting clinical documentation needed to complete the authorization process
Ensure complete and accurate information maintained in patient account including authorization or referral received from payer or Primary Care Physician
Strong people skills required; diplomatic, patient, flexible and able to multi-task and be cross trained on all functions within the Insurance Verification Department
Must be mobile in an office setting, sitting, standing, walking, and bending
Perform general duties and other functions as required or assigned
Working knowledge of Microsoft Suite including Excel, Word, Outlook.

Please call View phone number on click.appcast.io or email View email address on click.appcast.io

Clearwater, FL
1380
1500 North McMullen Booth Road
Suite A3
Clearwater, FL 33759

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Vacancy posted 11 hours ago

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