Insurance Change Specialist

VieMed Careers•Lafayette, LA

9d•Onsite

About The Position

The Insurance Change Specialist is responsible for obtaining and verifying patient demographic and health insurance information, collecting co-pays, and understanding and providing insurance breakdowns. This role involves obtaining prior authorizations, effectively reading medical documentation, and resolving front collections accounts. The specialist will maintain effective communication with patients, physicians' offices, and internal teams, and perform various clerical tasks including answering calls, faxing, and emails. The position requires reporting concerns to the Revenue Cycle Manager and Supervisor and undertaking other assigned responsibilities and projects.

Requirements

High School Diploma or equivalent
Learns and maintains knowledge of current patient database and billing system
Verifying Insurance for all products
Understand Insurance benefit breakdown of deductibles and co-ins
Understand Insurance Medical and Payment Policies
Knowledge of Explanation of Benefits from insurance companies
General knowledge of government, regulatory billing and compliance regulations/policies for Medicare & Medicaid
Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits
Enough knowledge of policies and procedures to accurately answer questions from internal and external customers
Utilizes initiative while maintaining set levels of productivity with consistent accuracy
Minimum of 1 year of insurance verification or authorizations required
Superior organizational skills
Proficient in Microsoft Office, including Outlook, Word, and Excel
Attention to detail and accuracy
Effective/professional communication skills (written and oral)

Nice To Haves

2-4 Years in DME or Medical Office experience preferred

Responsibilities

Obtains patient demographic and health insurance information
Collects co-pay(s) when appropriate
Verifies and records insurance benefits with the ability to understand and provide insurance breakdowns
Obtains prior authorization &/or follows up on authorization daily, if required by payer(s)
Able to read through and understand medical documentation effectively
Resolves Front Collections accounts as well as documenting within computer system appropriately
Establishes and maintains effective communication and good working relationships with patients/family, physicians’ offices, and other internal teams for the patient’s benefit
Performs other clerical tasks as needed, such as Answering patient/Insurance calls, Faxing and Emails
Communicates appropriately and clearly to Manager/Supervisor, and other superiors
Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor
Performs other responsibilities and projects as assigned