Insurance Change Specialist

Viemed,-LLC; Lafayette (LA); On-site; USD 42,000 - 54,000; Full time

Job summary

Viemed,-LLC in Lafayette, LA is seeking a detail-oriented Insurance Verification Specialist to gather patient demographics and verify benefits, while collecting co-pays when appropriate.

The role requires reading medical documentation, understanding EOBs, CPT/ ICD-10 codes familiarity, and coordinating with payers, patients, and internal teams to ensure accurate billing and timely authorization.

Qualifications

• High School Diploma or equivalent.
• Familiar with patient databases and billing systems.
• Understanding insurance benefits and EOBs.
• Knowledge of CPT/ICD-10, HIPAA, and payer policies.
• Strong communication with patients and internal teams.

Responsibilities

• Obtains patient demographic and health insurance information and collects co-pays when appropriate.
• Verifies and records insurance benefits; understands insurance breakdowns.
• Obtains prior authorization when required by payer(s).
• Reads and understands medical documentation effectively.
• Resolves front collections accounts and documents in the system.
• Maintains communication with patients, physicians offices, and internal teams for patient benefit.
• Performs other clerical tasks (calls, faxing, emails).
• Communicates with Manager/Supervisor and reports concerns to Revenue Cycle Manager.

Skills

Organizational skills

Microsoft Office

Attention to detail

Communication skills

Education

High School Diploma

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Billing software

Job description

• 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)

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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