Remote Insurance Verification Specialist

Ashealthnet; United States; Remote; USD 19,000 - 28,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

401(k) plan with match

Life insurance

Disability insurance

Employee Assistance Program (EAP)

Job summary

Alternate Solutions Health Network is seeking a remote Insurance Verification Clerk to support home health and hospice services. You will perform data entry for new patient referrals and verify insurance coverage, communicating with patients and families about services and out-of-pocket costs.

Responsibilities include confirming patient eligibility, facilitating CMS-compliant documentation, and coordinating with hospital and care teams.

Qualifications

• High-School diploma or equivalent required.
• 2 years of experience in the insurance verification/healthcare field.
• Knowledge of CMS guidelines and familiarity with medical terminology.
• Capable of all physical demands.

Responsibilities

• Customer Service: Communicates with the patients and their family regarding the insurance verification and billing process.
• Operations: Evaluate patient eligibility to receive ordered services. Verify Face-to-Face Encounter with physician for billing requirements. Complete hospital hold workflow which may include faxing summary to hospital and following up on hospitalized patients.
• Policies: Understand and practice agency policies and procedures and stays current with CMS guidelines. Perform workflow and data reporting in accordance with CMS guidelines. Complete and submit all required documentation within specified company requirements.
• Teamwork: Up-date appropriate staff throughout process.

Skills

Insurance verification

Data entry

Healthcare knowledge

CMS guidelines

MS Office

Communication

Education

High-School diploma or equivalent

Tools

Microsoft Office

Job description

Alternate Solutions Health Network is seeking a remote Insurance Verification Clerk to support home health and hospice services. You will perform data entry for new patient referrals and verify insurance coverage, communicating with patients and families about services and out-of-pocket costs.

Responsibilities include confirming patient eligibility, facilitating CMS-compliant documentation, and coordinating with hospital and care teams.