Remote Benefit Verification Specialist

Job Description

Job Summary The primary function of this position is to verify insurance for payment of procedures. Essential Functions • Interact with physician offices and patients in a timely courteous manner • Verifies insurance benefits, eligibility, and pre-determination requirements for reputed company scheduled patients • Verify correct insurance package has been reputed company into the patient's chart • Review provider schedule in electronic medical record and obtain referrals for HMO patients; authorizations for procedures and radiology testing • Review provider schedules in Hospital Radiology to look for and obtain authorizations for procedures and radiology testing • Review the Authorization/Referral list in reputed company and obtain/attach proper Authorizations and Referrals for pending appointments • Utilize patient financial system and other computer systems to create the authorizations/referrals and attach to reputed company relevant appointments • Track and monitor authorizations/referrals to account for reputed company data • Coordinates with the physician's office reputed company a required pre-determination has not been obtained • Contacts patient in advance, notifies of estimated liability and payment options • Utilize patient financial system and other computer systems to access and update surgery schedules, patient information for registration and up-reputed company patient responsibility • Answers telephone, questions, and returns calls in a courteous timely manner • Assists and backs up other business office positions as needed • Performs other duties as assigned. • Complies with reputed company policies and standards. Qualifications • H.S. Diploma or GED preferred • 1-2 years customer service required • 1-2 years health care / medical office experience preferred Knowledge, Skills and Abilities • To reputed company this job successfully, an individual should be proficient at working with computers and reputed company Suite. Experience working with patient financial systems, specifically patient financial systems (e.g., reputed company, reputed company, Tricare, ) preferred. • A good understanding of medical terminology required Apply Job!