A healthcare service provider in Bucks County is seeking an organized and detail-oriented individual to manage work orders and verify patient insurance benefits. Responsibilities include processing documentation, ensuring data integrity, and communicating effectively with patients and staff. A high school diploma and experience in healthcare and insurance verification are preferred. The role requires independence, good judgment, and proficiency in Microsoft Office applications.
Qualifications
Ability to work independently and make sound decisions.
Strong communication skills with patients and healthcare representatives.
Excellent organizational skills with attention to detail.
Responsibilities
Prepare and process work orders accurately.
Verify patient insurance benefits and secure authorizations.
Maintain data integrity and coordinate with physician offices.
Skills
Independence
Good judgment
Professional communication
Organizational skills
Attention to detail
Insurance verification experience
Education
High School Diploma
Tools
Microsoft Outlook
Microsoft Word
Microsoft Excel
Job description
Work Schedule
Monday - Friday, 8-4:30 pm
Essential Functions
Prepare and process work orders accurately and timely
Obtain, review, and coordinate required documentation, including prescriptions, physician notes, and other supporting records needed to move orders forward
Verify patient insurance benefits, confirm coverage criteria, and secure prior authorizations or pre-certifications as required
Ensure data integrity and accuracy of patient account information, including HCPCS and ICD-10 coding, to support proper processing and reimbursement
Communicate with patients regarding insurance coverage, financial responsibility, and next steps in the process
Coordinate with physician offices, practitioners, and internal staff to obtain missing information and ensure orders are ready for delivery
Maintain knowledge of payer-specific rules, documentation requirements, and authorization procedures
Ensure orders are properly documented and meet company and insurance requirements prior to delivery
Provide excellent customer service to patients, referral sources, and coworkers
Document account activity clearly, accurately, and professionally
Help maintain an efficient flow of service from order intake through readiness for delivery
Complete other duties as assigned
Skills & Requirements
Works independently
Uses good judgment
Makes sound decisions
Communicates professionally with patients, physician offices, insurance representatives, and coworkers
Works effectively in a fast-paced environment
Records information clearly, accurately, and concisely
Handles sensitive and confidential information appropriately
Meets deadlines, prioritizes tasks, and manages multiple accounts at once
Proficient in Microsoft Outlook, Word, and Excel
Organized and detail-oriented
High school graduate
Prior experience with insurance verification, prior authorizations, medical documentation, or patient service in a healthcare setting preferred