Remote Verification Specialist Home Health Eligibility

Alternate Solutions Health Network, LLC; Kettering (OH); À distance; USD 19 000 - 28 000; Plein temps

Avantages offerts par ce poste

Health insurance

Dental & Vision insurance

Paid time off

401K with match

Life insurance

Disability insurance

Employee Assistance Program

Résumé du poste

Alternate Solutions Health Network, LLC is seeking a Verification Specialist to review patient eligibility for home care services. You will verify insurance coverage, communicate with patients and families, and ensure accurate documentation and CMS-compliant workflows.

The role supports home health and hospice services within a health system network. Ideal candidates have a high school diploma, at least two years in insurance verification or healthcare, and familiarity with CMS guidelines and

Qualifications

• High-School graduate or equivalent.
• 2 years of experience in the insurance verification/healthcare field.
• Knowledge of CMS guidelines and familiarity with medical terminology.

Responsabilités

• Enter data for new patient referrals and verify insurance coverage.
• Explain services covered and out-of-pocket costs to patients and families.
• Verify Face-to-Face Encounter with physician for billing requirements.

Connaissances

Compassionate communicator

Patience

Attention to detail

Problem solving

Microsoft Office proficiency

Willingness to learn new software

Formation

High-School diploma or equivalent

Outils

Data entry systems

Insurance verification software

Description du poste

Alternate Solutions Health Network, LLC is seeking a Verification Specialist to review patient eligibility for home care services. You will verify insurance coverage, communicate with patients and families, and ensure accurate documentation and CMS-compliant workflows.

The role supports home health and hospice services within a health system network. Ideal candidates have a high school diploma, at least two years in insurance verification or healthcare, and familiarity with CMS guidelines and