About The Position

NHC HomeCare Florida Regional Office is looking for an Insurance Verification Specialist to join their team. This position will be responsible for accurate and timely verification of insurance eligibility and authorization from Medicare, managed care, and commercial insurance.

Requirements

  • High School diploma
  • Computer Data entry
  • Minimum of 1 year experience in verification insurance benefits, pre certification – all payers
  • Excellent written and verbal communication skills
  • Ability to work in a fast paced environment
  • Excellent organization skills and ability to pay attention to details.
  • Able to bend, stoop, squat and twist numerous times a day to perform duties of filing, typing etc.
  • Able to see and hear adequately to effectively answer questions on the phone and input information on insurance websites.
  • Able to speak in clear, concise voice in order to communicate effectively with insurance company case managers.
  • Mental acuity to learn and apply job related training to adequately perform job requirements.

Responsibilities

  • Verify benefits for home health services for all payer types, using a variety of websites, and software applications.
  • Obtain pre certification for home health services, either via phone or provider portal.
  • Understand benefit level and be able to assist local agencies of plan limits and requirements.
  • Understand and comply with all applicable policies and procedures of NHC HomeCare.
  • Performs other duties and responsibilities as required or assigned by Director of Managed Care.
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