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Insurance Change Specialist
Insurance Change SpecialistVieMed Healthcare • Lafayette, LA, US
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Insurance Change Specialist

Insurance Change Specialist

VieMed Healthcare • Lafayette, LA, US
1 day ago
Job type
  • Full-time
Job description

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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 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.
  • Requirements :

  • High School Diploma or equivalent.
  • Learns and maintains knowledge of current patient database and billing system
  • Verifying Insurance for all products
  • Understand Insurance benefit breakdown of deductibles and co-ins
  • Understand Insurance Medical and Payment Policies
  • Knowledge of Explanation of Benefits from insurance companies
  • General knowledge of government, regulatory billing and compliance regulations / policies for Medicare & Medicaid
  • Working 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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