Insurance verification specialist

hace 3 semanas


Medellín, Colombia Institutocoomuldesa A tiempo completo

Somos una empresa de Outsorcing de Servicios que prestamos acompañamiento en Contratación de personal a compañías norteamericanas para laborar desde la ciudad de Medellín.

Descripción general

Especialista en Verificación de Seguros Bilingüe - Medellín

Responsabilidades:
  1. Gestionar cuentas por cobrar contactando a las aseguradoras para resolver negaciones de reclamos y garantizar el procesamiento de pagos de manera oportuna.
  2. Verificar la cobertura de seguros y la elegibilidad de beneficios para los pacientes.
  3. Revisar los cronogramas de tarifas para asegurar que se paguen las cantidades correctas según los reembolsos aplicables de Medicare, Medicaid o seguros comerciales.
  4. Procesar y revisar la documentación médica para asegurar su precisión y cumplimiento.
  5. Manejar las tareas de facturación médica de manera eficiente.
  6. Familiaridad con HCPCS, ICD-10 y las pautas de Medicare.
  7. Asegurar el correcto uso de los códigos de procedimientos médicos.
  8. Colaborar con el equipo adecuado para resolver problemas relacionados con los seguros.
Requisitos:
  1. Al menos dos años de experiencia comprobada en verificación de seguros y facturación médica.
  2. Conocimiento de políticas de cobertura médica y LCD.
  3. Familiaridad con HCPCS, ICD-10, modificadores de facturación, y regulaciones de Medicare y seguros aplicables.
  4. Fuertes habilidades organizativas para gestionar archivos y documentación de manera efectiva.
Condiciones:

Días y horario: Lunes a Viernes, 7:00 AM - 5:00 PM

Nivel de inglés requerido: B2+/C1

Contrato indefinido

Datos complementarios

Universitaria

Servicios financieros

2 años de experiencia

1 Vacante

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