Insurance verification specialist
hace 3 semanas
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 generalEspecialista en Verificación de Seguros Bilingüe - Medellín
Responsabilidades:- Gestionar cuentas por cobrar contactando a las aseguradoras para resolver negaciones de reclamos y garantizar el procesamiento de pagos de manera oportuna.
- Verificar la cobertura de seguros y la elegibilidad de beneficios para los pacientes.
- Revisar los cronogramas de tarifas para asegurar que se paguen las cantidades correctas según los reembolsos aplicables de Medicare, Medicaid o seguros comerciales.
- Procesar y revisar la documentación médica para asegurar su precisión y cumplimiento.
- Manejar las tareas de facturación médica de manera eficiente.
- Familiaridad con HCPCS, ICD-10 y las pautas de Medicare.
- Asegurar el correcto uso de los códigos de procedimientos médicos.
- Colaborar con el equipo adecuado para resolver problemas relacionados con los seguros.
- Al menos dos años de experiencia comprobada en verificación de seguros y facturación médica.
- Conocimiento de políticas de cobertura médica y LCD.
- Familiaridad con HCPCS, ICD-10, modificadores de facturación, y regulaciones de Medicare y seguros aplicables.
- Fuertes habilidades organizativas para gestionar archivos y documentación de manera efectiva.
Días y horario: Lunes a Viernes, 7:00 AM - 5:00 PM
Nivel de inglés requerido: B2+/C1
Contrato indefinido
Datos complementariosUniversitaria
Servicios financieros
2 años de experiencia
1 Vacante
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