Sleep Intake Specialist-Insurance verification

Back

Sleep Intake Specialist-Insurance verification

@ VieMed

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:

Qualifications:

• High School Diploma or equivalent
• One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred
• Basic understandings of medical insurance benefits
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public
• Effectively communicate with physicians, patients, insurers, colleagues and staff
• Able to read and understand medical documentation effectively
• Knowledge and understanding of same and similar DME equipment
• Knowledge and understanding of In-network vs Out of Network, PPO, HMO
• Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid
• Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits. 
• Learns and maintains knowledge of current patient database & billing system
• Up to date with health information technologies and applications
• Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner
• Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations and the public  
• Proficient in Microsoft Office, including Outlook, Word, and Excel
• Utilizes initiative, strives to maintain steady level of productivity and is self-motivated
• Possible weekend work or overtime, to include working an on-call rotation schedule

Access to Protected Health Information (PHI):

• This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation.  
• Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.

Working Conditions:

• This position will work in an office environment.  

---

How to Apply:

Apply online at https://www.viemed.com/corporate-careers/. 

Visit Site to Apply