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- 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.
- If required by payer(s), obtains prior authorization & / or follows up on authorization daily.
- Able to read through and understand medical documentation effectively
- Resolves Front Collections accounts as well as documenting within computer system appropriately.
- Establishes and maintains effective communication and good working relationships with patients / family, physicians' offices, and other internal teams for the patient's benefit.
- Performs other clerical tasks as needed, such as
- Answering patient / Insurance calls
- Faxing and Emails
- Communicates appropriately and clearly to Manager / Supervisor, and other superiors. Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor
- Other responsibilities and projects as assigned.
Duties :
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.If required by payer(s), obtains prior authorization & / or follows up on authorization daily.Able to read through and understand medical documentation effectivelyResolves Front Collections accounts as well as documenting within computer system appropriately.Establishes and maintains effective communication and good working relationships with patients / family, physicians' offices, and other internal teams for the patient's benefit.Performs other clerical tasks as needed, such asAnswering patient / Insurance callsFaxing and EmailsCommunicates appropriately and clearly to Manager / Supervisor, and other superiors. Reports all concerns or issues directly to Revenue Cycle Manager and SupervisorOther responsibilities and projects as assigned.Requirements :
High School Diploma or equivalent.Learns and maintains knowledge of current patient database and billing systemVerifying Insurance for all productsUnderstand Insurance benefit breakdown of deductibles and co-insUnderstand Insurance Medical and Payment PoliciesKnowledge of Explanation of Benefits from insurance companiesGeneral knowledge of government, regulatory billing and compliance regulations / policies for Medicare & MedicaidWorking knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.Enough knowledge of policies and procedures to accurately answer questions from internal and external customers.Utilizes initiative while maintaining set levels of productivity with consistent accuracy.Experience :
2-4 Years in DME or Medical Office experience preferred.Minimum of 1 year of insurance verification or authorizations required.Skills :
Superior organizational skills.Proficient in Microsoft Office, including Outlook, Word, and Excel.Attention to detail and accuracy.Effective / professional communication skills (written and oral)Seniority level
Seniority level
Entry level
Employment type
Employment type
Full-time
Job function
Job function
Other
Industries
Hospitals and Health Care
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