Patient Insurance Verification & Authorization Specialist

1400 Baystate Medical Practices, Inc; United States; Presencial; USD 27.000 - 36.000; Jornada completa

Descripción de la vacante

Baystate Health in the United States is seeking an Insurance Verification Representative to review, verify, and secure patient demographic and insurance information; obtain authorizations and certifications for sponsored admissions; and work denials to minimize bad debt and maximize reimbursement.

Under supervision, you will verify eligibility, obtain benefits, and collaborate with multiple departments to resolve gaps in coverage and ensure accurate documentation for claims submissions.

Formación

• Medical billing and/or Authorization and Referral focus

Responsabilidades

• Secures accounts to obtain proper reimbursement and verifies eligibility; obtains benefits and authorizations/referrals with knowledge of third-party requirements for claims submissions.
• Follows up with payers to resolve coverage/benefit issues and documents account activity in necessary applications.
• Collaborates with Case Management, Denials Management, and Patient Accounting to recover payment for assigned denials.
• Maintains knowledge of evolving payer guidelines via web portals and carrier communications.
• Independently resolves insurance authorization and assignment issues.
• Participates in cross training to promote efficient and customer-friendly service.
• Meets productivity standards and maintains an account accuracy rate of 97% or higher.
• Demonstrates skilled use of necessary computer programs.

Conocimientos

Microsoft Office Suite Skills

Descripción del empleo

Baystate Health in the United States is seeking an Insurance Verification Representative to review, verify, and secure patient demographic and insurance information; obtain authorizations and certifications for sponsored admissions; and work denials to minimize bad debt and maximize reimbursement.

Under supervision, you will verify eligibility, obtain benefits, and collaborate with multiple departments to resolve gaps in coverage and ensure accurate documentation for claims submissions.