Insurance Verification Rep NovaSom
THIS JOB HAS EXPIRED JOB SUMMARY:
This is a front-line position responsible for administrative support of all contact prior to, during and at the conclusion of the patient?s course of care. This includes Emdeon not mapped insurance verification, obtaining patient out of pocket expenses and obtaining authorizations. The position is responsible for inbound and outbound telephone contact.
DUTIES AND RESPONSIBILITIES:
The essential functions of the position include, but are not limited to, the following duties:
Answers incoming calls from clients (e.g. patients, physicians, insurance companies, etc.) as they relate to inquiries regarding insurance verification, out of pocket expense and authorizations.
Performs outbound calling to physicians, insurance companies and other clients to follow up on insurance verification and authorizations.
Update applicable databases with insurance coverage verified benefits, including coverage effective dates, patient demographic information, emergency contacts, residence and deliver to address ( if different than residence), insured relationship if patient is not insured and any other applicable information required by software program in use.
Verify all and prepare all appropriate authorization/gap exception forms
Adhere to all policies and procedures, with the most stringent attention to complying with all governmental and HIPPA mandated patient confidentiality regulations.
Identify any issues or problems with payers and the possible difficulties in presenting clean claims to them based upon verification requirements.
Perform other duties as assigned.
SKILLS AND EXPERIENCE:
Strong oral and written communication skills
High attention to detail
Ability to prioritize needs and function independently
Must be able to multi-task well and handle changes in a positive manner
Possess a working knowledge of Microsoft Outlook, Word, and Excel
High school diploma/GED
Two years of insurance verification/billing experience
Equivalent combination of experience and education
||Glen Burnie, MD |
THIS JOB HAS EXPIRED