Verifies records and insurance benefits of patients
Insurance update and changes, quoting financial breakdown to patients
Obtaining and submitting authorizations for all products
Address and respond to front collector’s email group
Able to read through and understand medical documentation effectively
Work front collectors aging bucket
Work claim rejections
Work deceased patient reports
Establishes and maintains effective communication and good working relationship with co-workers for the patient’s benefit.
Performs other clerical tasks as needed, such as answering phones, faxing, and emailing. Completes other duties, as assigned
Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Collections Manager and Supervisor
Qualifications:
Requirements:
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
Thorough understanding of medical insurances companies, Medicare and 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; maintains set level of productivity goals with ability to consistently and accurately
Experience:
2-4 Years in DME or Medical Office experience preferred
Worked a minimum of 1 year of insurance verification and financial benefit breakdown
Two years’ experience in insurance office, doctor's office, or three years’ general office experience.
Skills:
Superior organizational skill.
Attention to detail and accuracy.
Ability to work as part of a health care team.
Effectively communicate with physicians, patients, insurers, colleagues and staff
Proficient in Microsoft Office, including Outlook, Word, and Excel
