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Insurance Eligibility Specialist

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

2-3 years experience as Medical VA, Experience in insurance verification and authorizations.

Key responsabilities:

  • Verify patient insurance coverage
  • Obtain pre-authorizations for procedures
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BruntWork Human Resources, Staffing & Recruiting SME https://www.bruntworkcareers.co/
501 - 1000 Employees
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Job description

This is a remote position.

Fixed schedule: M-F 8hours per day, 40 hours per week (no confirmed fixed schedule yet from client but most likely it would be PST) 

Responsibilities: 
  • The medical insurance verification specialists’ job is to verify patient insurance coverage. They work with insurance companies, staff and possibly patient.

 

  • Verify Insurance: for new and existing patients and ensure that information is up to date.

 

  • Obtain authorizations: pre-authorizations for procedures and in office services.

 

  • Answer questions: insurance companies, staff, and possibly patients.

 

  • Resolve issues: Resolve discrepancies with insurance companies and any billing issues.

 

  • Update records: Update patient records (demographics) with verification and authorization details.

 

  • Explain financial responsibilities: explain to staff and/or possibly patient what the financial responsibilities will be.

 

  • Commnunicate with staff: inform staff about denials or any other related issues.

 

  • Track referrals: Track physician referrals and provide detail to staff.

 

  • Support billing: support staff and medical billing and collaborate with them.

 

  • Strong customer service and problem-solving skills and be able to communicate well over the phone.


Requirements
- has 2-3yrs experience as a Medical VA verifying eligibility and benefits 
- has prior experience working with Clinical, Hospital, and Ambulatory Surgery Centers 
- has excellent english communication skills 

- has experience in nsurance verification and authorizations for but not limited to:

 

      Clinical – new patients consult, and established patients visits, wound care, vascular or other procedures in office.

 

      Hospital- General Surgery

 

      Ambulatory Surgery Center- General Surgery, Gastroenterology, and potentially Podiatry.



Required profile

Experience

Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Customer Service
  • Problem Solving
  • Communication

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