Insurance Change Specialist
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Key details
- Location
- Lafayette, LA, United States
- Work style
- Onsite
- Level
- Mid level
- Job type
- Full-time
- Experience
- 2–4 yrs
- Function
- Operations & Strategy
- Focus area
- other
- Posted
- 3d ago
Skills
cptexcelhipaaicd-10insurance verificationmedical terminologymicrosoft officemicrosoft wordoutlookprior authorization
About the role
Duties:
- 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.
- If required by payer(s), obtains prior authorization &/or follows up on authorization daily.
- 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
- Other responsibilities and projects as assigned.
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.
Experience:
- 2-4 Years in DME or Medical Office experience preferred.
- Minimum of 1 year of insurance verification or authorizations required.
Skills:
- Superior organizational skills.
- Proficient in Microsoft Office, including Outlook, Word, and Excel.
- Attention to detail and accuracy.
- Effective/professional communication skills (written and oral)