Insurance Verification Specialist - Part-Time

EmpowerMe Wellness•Brentwood, MO

8h•Onsite

About The Position

EmpowerMe Wellness offers career growth opportunities, continuing education, and benefits, aiming to improve the lives of seniors. The company provides fully integrated on-site therapy, pharmacy services, primary care, and more at senior living communities nationwide. With over 3,000 clinicians and professionals, EmpowerMe Wellness delivers personalized health and wellness solutions for seniors in more than 35 states.

Requirements

Bachelor’s degree or associate degree plus 1 year of professional office experience or High School diploma or GED plus 2 years of professional office experience.
Must exhibit a very high level of thoroughness & detail orientation.
Goal- and result-oriented, as well as self-motivated with a sense of professional curiosity, desire to learn new things, and to find/recommend solutions to problems.
Excellent communication and interpersonal skills are required.
Must have the ability to work in a fast-paced environment, remain calm in stressful situations, to be flexible, to work well with many interruptions, and have skill in multi-tasking.
Must exhibit and promote a high level of customer service, hospitality, curiosity, and friendliness towards all clients, visitors, and coworkers.
Quickly adapts to change and takes a proactive approach to problem-solving.
Knowledge and understanding of HIPAA and CMS guidelines.
Ability to analyze, interpret and draw inferences from research findings and prepare reports.
Knowledge of and experience with insurance benefit coordination, medical credentialing, and medical billing.
Working knowledge of clinical and/or agency operations and procedures.
Ability to use independent judgment to manage and impart confidential information.
Database management skills including querying, reporting, and document generation.

Nice To Haves

Professional office experience in a healthcare setting is preferred.

Responsibilities

Perform insurance verification and health information management tasks.
Perform verification of medical eligibility and coverage of benefits and addressing billing issues related to missing/incomplete documentation and/or charges.
Obtain preregistration patient demographic information and insurance information required to create a medical record and input collected information into billing software in a complete and accurate manner.
Perform verification of benefits and referral/authorization collection within the assigned region.
Serve as an intermediary between patients and outside sources related to questions or problems which patients may have regarding their insurance benefits.
Organize and transmit necessary documents to referring providers validating and approving the plans of care constructed by the clinical team.
Ensures the prompt return of initial and recertified signed Plans of Care from referring providers.
Perform general business office work including answering phones, retrieving voice mail, and returning calls to patients and providers.
Organize and scan and/or save all paper and/or electronic documents received from outside sources into the EMR accurately.
Review and update patient electronic records ensuring the accuracy of information and identifying missing data.