Insurance Verification Specialist

Description:

Will be working with a small team to verify insurance information provided by local Hospice Clinics and partnered facilities on information uploaded into internal systems.

• Conducts insurance verification and eligibility for services

• Assists in obtaining or validating pre-certification and authorizations.

• Develops and maintains a working knowledge of current Medicare, Medicaid, and insurance regulations

• Assists with problem resolution on claims, billing, and eligibility issues with carriers

• Answer incoming phone calls from clinics to verify coverage and copays in a courteous manner.

Qualifications:

• Previous experience (1-2 Years) related to insurance authorization, billing and rate negotiation preferred

• Ability to work independently and as a part of a team

• Demonstrate excellent organizational and analytical skills

• Ability to multitask in a fast-paced environment

• Good verbal and written communication skills

• Familiar with a basic understanding of medical ICD-9 codes and CPT medical billing codes

• Comprehensive knowledge of homecare, hospice, and skilled nursing reimbursement guidelines

• Familiar with a basic understanding of medical ICD-9 codes and CPT medical billing codes

Schedule:

• Monday-Friday

• Rotating shift- 8:30-5:00 and 9:30-6:00

• Scheduled Saturday approximately every 6 week

Experience Level:

Expert Level