Description:
Join the Winning Team!! Insurance specialists wanted for a busy medical practice. Candidates should have a positive attitude, strong work ethic, and be a team player.
Hours:
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Monday-Friday 7:30am- 4:30pm
Essential Functions:
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Verifies insurance eligibility and benefits of prospects/ referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner
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Communicates patient benefits in a timely manner using the appropriate systems and associated software application as found in patient notes, tasks, workflow, email and or phone calls
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Documents and forwards patient deductible, out-of-pocket expense, life-time maximum, and patient responsibility to agency in an accurate and timely manner
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Reviewsand replies to urgent requests in a timely and accurate manner
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Obtains all authorization as needed from payer for services ordered/requested in a timely manner
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Documents specific details related to the authorization including effective and end dates using the appropriate system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email
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Maintain patient confidentiality, HIPAA compliance
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Serves as a liaison between the clinic and the payer on a regular basis
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Coordinates and communicates within regarding any changes or updates from the payer in a timely manner
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Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner
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Problem solves independently before referring issues to the Supervisor/Manager for resolution
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Performs eligibility and or similar, comparable, or related duties as may be required or assigned
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Adheres to policies/procedures of organization
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Ability to maintain regular attendance is an essential function
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Attend meetings as required
Requirements:
Successful Candidate Should Possess:
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High-School Diploma with additional certifications and/or experience
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Basic and advanced insurance knowledge (plans, copays, deductibles, coinsurance, etc.)
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Medical billing/coding experience
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Medical procedure authorizations experience or ability to learn
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Excellent oral and written communication skills
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Excellent organizational/time management and analytical skills
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Intermediate to advanced computer skills
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Mathematical aptitude
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Self-starter, Team player
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Ability to prioritize workload and multi-task
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Attention to detail
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Demonstrated ability to work independently and as a team player
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Punctuality, Reliability and Honesty
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Positive, pleasant attitude, neat appearance and flexibility
