Insurance Verification Associate

Health Plus Management•Uniondale, NY

3d•Onsite

About The Position

Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages over 50 locations throughout Long Island, NYC including the 5 boroughs, Westchester, NJ, CT and Upstate, NY. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice. We continually strive to support these practices by recruiting and retaining the most qualified and dedicated individuals. HPM provides an excellent path for personal and professional growth, along with competitive salary and benefits.

Requirements

High School Diploma or equivalent required
2+ years of experience with insurance carrier verification/prior authorization process
Strong knowledge of payer regulations and requirements
Knowledge of administrative and clerical procedures
Ability to articulate effectively with insurance carrier representatives and clients or patients associated with HPM
Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
Detail oriented and strong team player
Superior customer service and communication skills
Self-starter with strong problem-solving skills
Ability to meet high productivity and accuracy standards

Responsibilities

Oversee the Verification of Insurance Benefits and Authorization Requests for our family of companies.
Verify patient demographic information, insurance details, and other personal data through system applications, electronically, via websites or telephone.
Confirm and validate patient insurance coverage, including policy details and any pre-authorization requirements.
Verify and confirm that required authorizations and pre-certifications for medical procedures or treatments are obtained, ensuring compliance with insurance and regulatory requirements.
Assist in the preparation and processing of medical insurance claims, ensuring that all necessary information is accurate and complete.
Responsible for submission of any forms required by specific insurance carrier guidelines i.e.: treatment plans, OC110A, NF2, and submission on NYS Onboard portal.
Investigate and resolve discrepancies in patient information, billing, or insurance details, working to ensure accurate and timely resolution.
Support/assist team with any additional tasks as needed.