Registration & Billing Compliance Clerk

Talentify; West Plains (MO); On-site; USD 38,000 - 46,000; Full time

Job summary

Talentify is seeking an Insurance & Compliance Specialist to perform compliant checks on admitted patients' accounts and verify insurance benefits. You will ensure documentation aligns with test orders, diagnoses, and physician orders for Medical Records review.

The role includes completing Medicare Secondary Payer questionnaires, obtaining authorizations, and supporting accurate billing by verifying pre-admission requirements and payer rules.

Qualifications

• Verifies patient insurance eligibility and benefits.
• Obtains authorizations and pre-certifications as required.
• Adheres to federal guidelines for Medicare/Medicaid and commercial payers.

Responsibilities

• Compliant check on admitted patients' accounts.
• Ensures written documentation with test orders, diagnosis, and physician orders is available for Medical Records review.
• Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients.
• Verifies insurance eligibility and benefits for admissions and services.
• Obtains pre-admission/pree-certifications and insurance verification to support accurate billing.

Skills

Insurance verification

Pre-certification

Medicare/Medicaid knowledge

Documentation review

Job description

Talentify is seeking an Insurance & Compliance Specialist to perform compliant checks on admitted patients' accounts and verify insurance benefits. You will ensure documentation aligns with test orders, diagnoses, and physician orders for Medical Records review.

The role includes completing Medicare Secondary Payer questionnaires, obtaining authorizations, and supporting accurate billing by verifying pre-admission requirements and payer rules.