Insurance Verification Representative

Open 56d

Contacts Medicare, Medicaid and private insurance companies, by phone or internet tools, to obtain benefit and eligibility information
Efficiently and accurately verifies, reviews, documents and completes insurance verifications
Evaluates insurance coverage in order to determine the policy’s compatibility with our program
Determines if selected products are appropriate based on patient need and insurance benefit plan
Communicates with operations, sales team, referral or patient, regarding insurance benefits and coordination with products and programs
Achieves stated revenue goals, production, and performance objectives
Escalates recurring problem accounts, physician groups, or other trends to the management appropriately and in a timely manner
Maintains advanced knowledge of specialty and ancillary products to answer patient questions and assist with accurately processing complex orders, including out-of-stock items, exchanges and returns
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
Abides by all regulations, policies, procedures and standards

High School diploma and one to two years of medical insurance verification or equivalent combination of education and experience
One to two years of customer service experience preferred
Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
Ability to adapt to a constantly changing environment
Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
Ability to read and interpret documents such as Medicare/Medicaid regulations and insurance documents
Position may require evening and weekend availability
Strong attention to detail, multi-tasking, communication, and organizational skills are essential
Demonstrated ability to accurately perform data entry and pay close attention to detail

Hours for this Position:

• Monday-Friday 8:00am am-5:00pm

Advantages of this Opportunity:

• Competitive salary $15.00 - $16.00 per hr

• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO

• Growth potential

• Fun and positive work environment

See also