Insurance Change Specialist

Sleep Management, LLC dba Viemed; Lafayette (LA); Presencial; USD 36.000 - 60.000; Jornada completa

Descripción de la vacante

Sleep Management, LLC dba Viemed is seeking an Insurance Change Specialist in Lafayette, LA to verify patient demographics and insurance information, collect co-pays, and maintain accurate insurance records. The role involves understanding benefits, processing authorizations, and coordinating with patients and providers to ensure smooth revenue cycle operations.

The ideal candidate has 2–4 years of DME or medical office experience, with strong organizational and communication skills and

Formación

• High School Diploma or equivalent required.
• Proficient in Microsoft Office Suite (Outlook, Word, Excel).
• Excellent attention to detail and accuracy.
• Strong written and oral communication skills.

Responsabilidades

• Obtain patient demographics and insurance information; collect co-pays as appropriate.
• Verify and record insurance benefits and explain breakdowns.
• Obtain prior authorizations as required by payer(s) and follow up daily.
• Read and interpret medical documentation effectively.
• Resolve front-end collections and document in the system.
• Maintain communication with patients, physicians' offices, and internal teams.

Conocimientos

Superior organizational skills

Microsoft Office Suite

Attention to detail

Effective communication (written &

Educación

High School Diploma or equivalent

Herramientas

Microsoft Office Suite (Outlook, Word, Excel)

Descripción del empleo

Sleep Management, LLC dba Viemed

Insurance Change Specialist

Job Category: Sleep Management, LLC

Requisition Number: INSUR003634

Full-Time

Duties:

• 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
  1. Answering patient/Insurance calls
  2. 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)

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