Jobs

Description

6 months from workers start date; highly likely to be extended or converted

Days/Hours: Monday-Friday 8am-4:30pm EST

Job Description

• Must have prior authorization/verification experience.
• Contacts insurance companies to verify insurance benefits.
• Initiates Pre-authorization, PCP referral and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow up activities for an outcome.
• Files Appeals for denied coverage to insurance companies as needed.
• Maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company.
• Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals and outcomes for services of care.
• Provides customers with information that includes but is not limited to: updates on status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable.
• Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes.
• Performs other related duties as assigned.

Required Qualifications

• High school diploma or GED required
• Preferred two or more years’ experience, but a minimum of 1 year experience is required in insurance benefits verification and/or collections and/or managed care contracting.
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Must be able to work under pressure and meet deadlines

Skills Utilized:

• Understanding of Medicare rules and regulations;understanding of managed care as it relates to benefits and authorizations;advanced MS Office experience; strong verbal and written communication skills;

Job Duties:

• Contacts insurance companies to verify insurance benefits;initiates pre-authorization requests for new and ongoing services with insurance companies and performs follow up activities for an outcome;files Appeals for denied coverage to insurance companies as needed;