Sleep Intake Specialist - Insurance Verification

Job Description

Job Description

Essential Duties and Responsibilities :

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
• Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate
• Verifies and records insurance benefits, with the ability to understand and provide insurance breakdowns
• Obtains prior authorization if required by payer(s)
• Interacts professionally with physicians, patients, patients family and co-workers
• Schedules set ups, as called into VieMed, by physicians or physician’s office staff, per policy and procedure
• Retrieves incoming referral(s) and logs demographic information into current patient database & billing system
• Reviews medical records from referral(s) to determine if medical necessity has been met
• Communicates to sales team & / or referral source(s), if referral is acceptable or what is missing to complete referral(s)
• Documents in computer system the status of referral
• Reports all concerns or issues directly to Resupply Supervisor
• Other responsibilities and projects as assigned

Qualifications

Access to Protected Health Information (PHI)

Working Conditions