Case Administrator I

US Tech Solutions; Overland Park (KS); On-site; USD 45,000 - 65,000; Full time

Job summary

A staffing solutions firm in Overland Park, Kansas, is looking for professionals to aid in processing healthcare applications and coordinating patient benefits. Responsibilities include entering patient data, verifying insurance coverage, and assisting healthcare providers. Ideal candidates should have significant experience in benefit investigation, understanding of Medicaid and commercial insurance, and a High School Diploma. This role is critical in ensuring patients receive the best possible service and support for their healthcare needs.

Qualifications

• 5 to 10 years’ experience in benefit investigation.
• 3 to 5 years’ experience with healthcare providers.
• Strong understanding of insurance plan requirements.

Responsibilities

• Process applications and introduce assistance programs.
• Verify insurance benefits and coordinate authorizations.
• Handle difficult patient situations professionally.

Skills

Benefit investigation

Patient data entry

Insurance verification

Education

High School Diploma

Associates or Bachelor Degree in Science, Finance, or Business

Job description

US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website www.ustechsolutions.com.

We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.

Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.

Job Description

The purpose of this position is to process applications, introduce the assistance program, conduct benefits investigation for patients, address questions regarding coding and billing guidelines, and navigate complex reimbursement issues. This includes initial entry of patient data into the system, looking up insurance benefits, contacting insurers, advising the healthcare provider and/or patient of patients’ benefits, and identifying patient access barriers and seeking resources to overcome barriers.

Responsibilities:

• Answer inbound calls and make outbound calls to introduce services, gather patient data, address the needs of the patient and review insurance benefits. Record the call details in patient data system.
• Contact insurers for verification of benefits, coordinate prior authorizations and appeals with healthcare provider, and create reference guide.
• Collaborate with field team to maximize access to products and minimize associated administrative barriers.
• Handle difficult patient situations when they arise.

Education required: High School Diploma

Specific type of experience required:

• 5 to 10 years’ of benefit investigation involving the analysis and interpretation of insurance coverage
• 3 to 5 years’ of experience interacting with healthcare providers in regards to health insurance plan requirements

Education preferred:

• Associates or Bachelor Degree in Science, Finance, or Business

Specific type of experience preferred:

• Supervisory or Lead experience with a benefits group
• 10 or more years of patient benefit coordination
• Has an in-depth understanding of Medicaid and Commercial plans

Qualifications

Education required: High School Diploma

Specific type of experience required:

• 5 to 10 years’ of benefit investigation involving the analysis and interpretation of insurance coverage
• 3 to 5 years’ of experience interacting with healthcare providers in regards to health insurance plan requirements