Medical Benefit Verification Specialist - Remote
The Shared Services Center - Fort Smith provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. The Remote Benefit Verification Specialist- Inpatient position is remote and full time, which is 40 hours per week. The orientation hours are Monday- Friday, 8:30am - 5:00pm CST for approximately one week. After orientation, the training and working hours are Monday- Friday, 8:30am - 5:00pm CST.
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
Medical Benefit Verification Specialist - Remote
Posted on: 03-02-2025 00:00
Remote Teacher Associate | WFH Opportunity
Posted on: 03-02-2025 00:00
Hosting Support Engineer - Tier 2
Posted on: 03-02-2025 00:00
Virtual Customer Support - Entry Level
Posted on: 03-02-2025 00:00
Work From Home-Travel Scheduling Assistant-Entry Level
Posted on: 03-02-2025 00:00
Business Data Analyst-Seattle, WA or Remote
Posted on: 03-02-2025 00:00
Intern, GSOC (Global Security Operations Center)
Posted on: 03-02-2025 00:00
Part-Time Bookkeeper with Flexible Remote Options
Posted on: 03-02-2025 00:00
Transportation Specialist, Relay Operations Center (ROC)
Posted on: 03-02-2025 00:00
Customer Service Manager for Airbnb Rentals
Posted on: 03-02-2025 00:00
School District Needs Teacher Assistants! $25 - $29/HR. WEEKLY PAY!
Posted on: 29-08-2024 00:00
AI Expert Contributor: Calculus & Analysis (Part-Time, Flexible Schedule)
Posted on: 19-02-2025 06:29
Web Chat Representative
Posted on: 20-08-2024 00:00
CDL-A Driver | Dedicated | No Touch
Posted on: 16-09-2024 00:00
Actuarial Consultant - Remote
Posted on: 03-02-2025 00:00
Data Entry Clerk Work From Home - Part Time Focus Group Panelists
Posted on: 24-01-2025 00:00
Amazon Products Tester - No Experience Needed
Posted on: 16-07-2024 18:45
Associate, Customer Acquisition
Posted on: 31-07-2024 19:12
Retail Store Manager I
Posted on: 20-01-2025 06:20
Remote Microsoft Administrator Virtualization Services
Posted on: 16-07-2024 18:54