Remote Benefit Verification Specialist
Job Description
Job Summary
The primary function of this position is to verify insurance for payment of procedures.
Essential Functions
? Interact with physician offices and patients in a timely courteous manner
? Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients
? Verify correct insurance package has been loaded into the patient's chart
? Review provider schedule in electronic medical record and obtain referrals for HMO patients; authorizations for procedures and radiology testing
? Review provider schedules in Hospital Radiology to look for and obtain authorizations for procedures and radiology testing
? Review the Authorization/Referral list in Athena and obtain/attach proper Authorizations and Referrals for pending appointments
? Utilize patient financial system and other computer systems to create the authorizations/referrals and attach to all relevant appointments
? Track and monitor authorizations/referrals to account for benchmark data
? Coordinates with the physician's office when a required pre-determination has not been obtained
? Contacts patient in advance, notifies of estimated liability and payment options
? Utilize patient financial system and other computer systems to access and update surgery schedules, patient information for registration and up-front patient responsibility
? Answers telephone, questions, and returns calls in a courteous timely manner
? Assists and backs up other business office positions as needed
? Performs other duties as assigned.
? Complies with all policies and standards.
Qualifications
? H.S. Diploma or GED preferred
? 1-2 years customer service required
? 1-2 years health care / medical office experience preferred
Knowledge, Skills and Abilities
? To perform this job successfully, an individual should be proficient at working with computers and Google Suite. Experience working with patient financial systems, specifically patient financial systems (e.g., Athena, Availity, Tricare, ) preferred.
? A good understanding of medical terminology required
Similar Remote Jobs
Remote Benefit Verification Specialist
Posted on: 02-02-2025 00:00
Fedex Remote Jobs(Data Entry)up to $25/Hour
Posted on: 02-02-2025 00:00
Data Analyst / Data Scientist (Remote)
Posted on: 02-02-2025 00:00
Part-Time Work From Home Amex Virtual Assistant at American Express
Posted on: 02-02-2025 00:00
Remote Product Tester
Posted on: 02-02-2025 00:00
Chat Support Executive- Remote
Posted on: 02-02-2025 00:00
Data Entry Executive (Remote)
Posted on: 02-02-2025 00:00
UPS Remote Data Entry Clerk Typing ? Part-Time
Posted on: 02-02-2025 00:00
Weekend / Night shift Telemedicine Physician (MD or DO) (Remote)
Posted on: 02-02-2025 00:00
Apple Remote Entry-Level Roles Work From Home with No Prior Experience Required
Posted on: 02-02-2025 00:00
Aetna Career - Work From Home Customer Service Representative at Aetna
Posted on: 05-09-2024 00:00
Walgreen (Data Entry Remote Jobs) $75000/Yearly - No Experience
Posted on: 05-10-2024 00:00
Online Order Filling Team Associate
Posted on: 20-01-2025 00:00
Accounts Receivable Specialist - Physician Billing , Hybrid Remote Available for Local (PA, NJ) Candidates, Flexible Hours
Posted on: 26-09-2024 00:00
Student Services Specialist
Posted on: 20-01-2025 00:00
Toyota Data Entry Part-Time Remote Jobs - Positions Available Now
Posted on: 18-02-2025 03:59
Technical Account Manager
Posted on: 16-07-2024 19:06
Machine Learning Engineer - GenAI
Posted on: 16-07-2024 18:56
Delta Remote Careers: Airlines Jobs with Work-From-Home Opportunities
Posted on: 16-12-2024 16:53
Staff Business Solution Engineer, Collaboration Products
Posted on: 22-09-2024 00:00