Insurance Change Specialist

VieMed, LLC; Lafayette (LA); In loco; USD 36.000 - 48.000; Tempo pieno

Descrizione del lavoro

VieMed, LLC in Lafayette, LA is seeking an Insurance Verification/Billing Clerk to obtain patient demographics and insurance information, verify benefits, and follow up on authorizations as required by payers.

You will read medical documentation, resolve front-end collections, and maintain clear communication with patients, providers and internal teams to support revenue cycle operations.

Competenze

• 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.

Mansioni

• Obtains patient demographic and health insurance information and collects co-pays when appropriate.
• Verifies and records insurance benefits and provides insurance breakdowns.
• Obtains prior authorization as required by payers and follows up daily.
• Reads and understands medical documentation.
• Resolves front collections accounts and documents in the system.
• Maintains communication with patients, families, physicians’ offices and internal teams for patient benefit.
• Performs clerical tasks such as answering calls, faxing and emails.
• Communicates with Manager/Supervisor and reports concerns to Revenue Cycle Manager and Supervisor.
• Handles other responsibilities and projects as assigned.

Conoscenze

Organizational skills

Microsoft Office

Attention to detail

Communication (written & oral)

Formazione

High School Diploma or equivalent

Strumenti

Microsoft Office

Billing system

Descrizione del lavoro

• 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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