Insurance Verification Specialist
Insurance Verification Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Overview
Pursue your passion and fulfill your purpose at KidsCare!KidsCare Home Healthis a multiawardwinning organization who was most recently recognized as a2023 U.S. Top Workplace. As an awardwinning organization we are looking for dedicated professionals who will embrace the KidsCare core values. At KidsCare we desire to work with individuals who embody the values of the organization which together create ourC.A.R.E. culture.In return we offer afull benefits packageto include health dental and vision insurance paid time off 401K tuition reimbursement anda hybrid or blended work arrangement(providing balance between in office and work from home).
Responsibilities
We are currently looking for an Insurance Verification Specialist to joinour team! This position ensures all authorizations and verifications are completed and processed in a timely manner and maintain open lines of consistent communication with client families therapists and physicians.
Essential Duties and Responsibilities
- Collect patient payment as needed which may include refund processing.
- Obtain hard benefit insurance verification in detail from patients insurance provider.
- Review quote of benefits with caregivers or provide selfpay options for patients as needed.
- Maintain authorization workflows to obtain routine initial and reauthorizations.
- Schedule authorized visits to clinicians caseload.
- Communicate with caregivers and clinicians to provide updates as needed.
- Keep uptodate and remain knowledgeable with all payor requirements/guidelines and procedural changes for each payor.
- Contact payor sources for outstanding authorizations including fax authorization requests with necessary clinical documentation to obtain authorization.
- Prepare and fax authorization documentation to physicians for signature.
- Process payor changes when notified.
- Ensure timely processing of discharge and managing clients holds in the organizations healthcare software system.
- Participate in proactive team efforts to achieve departmental and company goals.
- Comply with all company policies practices and procedures.
- Perform other duties as assigned.
Qualifications
Other Qualifications and Skills
- Ability to read and write in simple correspondence with effective speaking in small groups may be in more than one language.
- Ability to add subtract multiply and divide with whole numbers including decimals fractions and all units of measure.
- Ability to interpret instruction with the ability to solve practical problems with a variety of concrete variables.
- Intermediate computer skills to include Microsoft Office Suite and database activity.
- Handle multiple tasks simultaneously.
Education and Work Experience Requirements
- Zero 0 to one 1 year of administrative experience.
- Specific data entry systems.
- Microsoft Office Suite.
- High school diploma or general education degree (GED); combination of education and 1 year of experience.
Physical Demands/Working Environment
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job the employee is regularly required to stand sit; talk hear and use hands and fingers to operate a computer and telephone keyboard.
- Ability to sit at a computer for an extended period.
- Light physical activity performing nonstrenuous activities of an administrative nature.
- Specific vision abilities required by this job include close vision requirements.
- Moderate noise (i.e. business office with computers phone and printers light traffic).
Required Experience:
Unclear Seniority
Employment Type
Full-Time
