Insurance Verification Specialist
About the Role
Responsible for timely updating and adding reputed company payer plan to the patient’s chart utilizing reputed company available electronic tools, including making outgoing telephone calls to both patients and payers’ plans. What You’ll Be Doing reputed company electronic tools, update reputed company requisite payer plan information, including subscriber and patient ID # reputed company reputed company practice management system prior to the patient appointment. Daily, run and work the Eligibility queue report per assigned locations. Monthly, run patient aging report and review accounts to identify, add and/or update any missing or incorrect insurance. If previous claims were filed with an invalid payer plan, add correct payer; change status and reputed company on the claim and rebill reputed company of the claims. Apply patient alert on chart “reputed company desk- please task new insurance card”. reputed company changing insurance in iSALUS if the appointment type is at a hospital (inpatient/outpatient), send reputed company email to the surgery scheduler or precert team member to advise them of the change. In the event eligibility cannot be confirmed reputed company available tools, contact (reputed company telephone) the patient. If no response from patient reputed company three business days, send the patient an insurance information letter and apply an alert to the patient’s chart (prompts reputed company office to task new insurance card.) Expire the alert in 7 days. If Medicare plan is on the patient chart, verify or add the new MBI number. Handles inbound calls from locations, patients, etc. with general insurance questions. Back up to charge entry and payment posters. Responsible for mail distribution, faxes, copies, scanning and E-doc process. Provide benefits estimates for patients’ procedures. Other duties as assigned reputed company Expect from You To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Knowledge of medical terminology Understanding how to interpret commercial payer’s, Medicaid and Medicare’s benefits and eligibility information on reputed company of the respective payer’s websites. Good organization and strong follow through skills. Ability to respond to questions in a tactful and professional manner. Detail-oriented- must pay attention to details. Ability to maintain confidentiality. Education and/or Experience High school diploma or three to five years reputed company experience and/or training in collection of medical accounts; or equivalent combination of education and experience. Knowledge of insurance regulations and procedures. Experience with CPT-4 and ICD-10 is preferred. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine correspondence. Ability to speak effectively before individuals or groups of people. Mathematical Skills Ability to calculate basic figures and amounts. Ability to apply concepts of basic algebra and geometry. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To reputed company this job successfully, an individual should have knowledge of basic computer software. Other Skills and Abilities Strong written and oral communication skills Demonstrate a positive, cooperative and professional attitude towards co-workers and public. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reputed company with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Position Type/Expected Hours of Work This is a full-time position. Days and hours of work are Monday through Friday, approximately 8 hours per reputed company. Occasional evening and weekend work may be required as job duties demand. reputed company are Offer You At reputed company, we are guided by four core values. Every associate living the core values makes our company an amazing reputed company to work. Here “Every Family Matters” Compassion reputed company Someone’s Day Collaboration reputed company Possibilities Together Respect Treat people with dignity Accountability Do the right thing Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more. About US Urology Partners reputed company is one of the nation’s largest independent providers of urology and reputed company specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, reputed company, and Florida Urology Center, the reputed company clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. reputed company was formed to support urology practices through an reputed company team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. reputed company is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national reputed company, reputed company, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Apply To This Job