Insurance Change Specialist

Sleep Management, LLC dba Viemed; Lafayette (LA); On-site; USD 38,000 - 52,000; Full time

Job summary

Sleep Management, LLC dba Viemed is seeking an Insurance Change Specialist in Lafayette, LA. The role focuses on collecting patient insurance data, verifying benefits, and ensuring accurate coding and documentation for billing processes.

You will obtain authorizations when needed, manage communications with patients and providers, and support front desk tasks while maintaining compliance with HIPAA and payer policies.

Qualifications

• 2–4 years in DME or medical office experience preferred.
• Minimum of 1 year of insurance verification or authorizations required.
• Knowledge of CPT, ICD-10 coding and billing forms.
• Familiarity with Medicare/Medicaid regulations and HIPAA guidelines.

Responsibilities

• Obtains patient demographics and health insurance information; collects co-pays when appropriate.
• Verifies and records insurance benefits and provides benefit breakdowns.
• Obtains prior authorizations when required and follows up daily.
• Reads medical documentation and documents actions in the system.
• Resolves front collections and communicates with patients and teams.
• Supports calls, faxing, and email tasks; communicates with manager and supervisor.

Skills

CPT/ICD-10 knowledge

Attention to detail

Professional communication

Organizational skills

Education

High School Diploma

Tools

Billing software

Microsoft Office

Job description

Sleep Management, LLC dba Viemed

Insurance Change Specialist

Job Category: Sleep Management, LLC

Requisition Number: INSUR003531

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)

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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