Insurance Change Specialist

VieMed; Lafayette (LA); In loco; USD 32.000 - 52.000; Tempo pieno

Descrizione del lavoro

Ultipro in Lafayette, LA is seeking a Revenue Cycle/Insurance Verification Clerk to support patient enrollment and billing operations. You will obtain patient demographics, verify benefits, collect co-pays, and document in the billing system.

Responsibilities include obtaining prior authorization when required, reading medical documentation, resolving front-end collections, and maintaining clear communication with patients, physicians’ offices, and internal teams.

Competenze

• High School Diploma or equivalent.
• 2–4 years in DME or medical office experience preferred.
• Minimum of 1 year in insurance verification or authorizations.

Mansioni

• Obtain patient demographic and health insurance information and collect co-pays when appropriate.
• Verify and record insurance benefits and provide benefit breakdowns.
• Obtain prior authorization when required by payer(s) and follow up daily.
• Read through and understand medical documentation effectively.
• Resolve front collections accounts and document in the billing system.
• Communicate with patients, physicians' offices and internal teams for patient benefit.
• Answer patient/insurance calls; fax and emails as needed.
• Report concerns to Revenue Cycle Manager and Supervisor.
• Perform other clerical tasks as assigned.

Conoscenze

Organizational skills

Attention to detail

Communication skills

Professional writing

Microsoft Office proficiency

Formazione

High School Diploma

Strumenti

Microsoft Office (Outlook, Word, Excel)

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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