Insurance Verification Specialist
hace 1 semana
Answers incoming phone calls for Insurance verifications.
- Collects identification, referral, and insurance information and assesses eligibility based on admissions criteria, clinical presentation, and insurance policies.
- Manages active leads/clients in CRM.
- Maintains communications with patients and insurance companies.
- Assists with running verification of insurance benefits.
- Clearly and directly explains insurance coverage and payment options to families and/or providers. Negotiate payment arrangements if needed
- Ensures that all intake forms are completed and signed upon admission.
- Protect confidential patient health information (PHI) at all stages of the verification of benefits process
- Perform detailed verifications of benefits for clients seeking coverage.
- Obtain patient responsibility, research payer coverage criteria, and any required prior authorization requirements.
- Track tasks, review reports for accuracy and completeness, and prepare and send insurance benefit verification results to healthcare providers on a deadline.
- Report and resolve any payer delays/challenges and/or escalated complaints.
- Collaborate with Market Access and Reimbursement teams.
- Develop productive working relationships with the U.S. Direct Sales team to coordinate support to healthcare providers and patients.
Requirement:
- Fluent in English
- Experience
Tipo de puesto: Tiempo completo, Indefinido
Salario: A partir de $2.500.000 al mes
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