Insurance Verification Specialist
hace 2 meses
**Position Name**: Insurance Verification Specialist
**Location**: Medellin, Colombia
**English Level**: C1 - C2
**Schedule**:
7:00 AM - 5:00 PM until November.
8:00 AM 6:00 PM from November to March.
On March it will switch back to 7:00 AM - 05:00 PM.
**Experience**:
- Proven experience in insurance verification and medical billing
- Knowledge of LCD and medical coverage policies
- Familiarity with HCPCS, ICD-10, billing modifiers and Medicare and applicable insurance regulations
**Responsabilities**:
- Manage accounts receivable efficiently by contacting insurance carriers to address claim denials and ensure timely payment processing.
- Knowledgeable on insurance coverage and eligibility of benefits for patients.
- Review fee schedules to ensure proper allowable amounts were paid in accordance with applicable reimbursement for medicare, medicaid, or commercial fee schedules.
- Review and process medical documentation for accuracy and compliance
- Handle medical billing tasks efficiently
- Familiarity with HCPCS, ICD-10, and Medicare guidelines
- Ensure proper coding of medical procedures
- Collaborate with appropriate staff to resolve insurance-related issues
**Skills and qualifications**:
For this role necessitates exceptional organizational abilities, expertise in coding and relevant insurance laws for claim processing.
- Multitasking skills.
- Excellent communication skills.
- Negotiation and conciliation skills.
- Excellent customer service skills with an empathetic approach.
Tipo de puesto: Tiempo completo, Indefinido
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