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
Remote Entry Level CSR
Posted on: 31-01-2025 09:57
Senior Manager, Engineering - Claims (REMOTE)
Posted on: 19-11-2024 06:07
Senior Software Engineer - Networking (REMOTE)
Posted on: 11-12-2024 17:46
Online Survey Side Hustle Expert
Posted on: 02-08-2024 17:49
Career Opportunities: Director, HR (7880)
Posted on: 22-10-2024 05:27
Supply Chain Undergraduate Internships - Technology Enablement & Automation
Posted on: 22-11-2024 05:34
Principal Engineer - IaaS (Hybrid Cloud) REMOTE
Posted on: 08-08-2024 00:00
(Work At Home, Entry Level) Southwest Airlines Remote Data Entry Careers - Apply Now
Posted on: 28-08-2024 00:00
Entry Level Business Development
Posted on: 28-11-2024 04:55
Jr. Recruiter - Remote Texas
Posted on: 04-02-2025 19:18