Insurance Verification & Authorization 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

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.