Our Insurance Eligibility Verification team provides accurate, real-time validation of patient insurance, benefit coverage levels, and prior authorization requests for medical equipment pertaining to sleep and respiratory disorders.
Roles and Responsibilities:-Handles Activities related to verification of medical insurance benefits for clients
-Compiles pre-certification information and forwards to insurance company to establish medical necessity and prior approval.
-Performs regular follow-up calls with insurance companies checking status of prior authorization request. Submits additional documentation, if required.
-Promotes and maintains teamwork with internal and external client associates and Health Plans.
-Participates in training sessions as requested.
-Protects and maintains confidentiality of all records.
-Accurately processes data in central processing software.
-Update Status as appropriate, and documents patient account according to department procedures
-Works minimum 40-hour work week with required overtime as business needs dictate.
Qualifications and Education Requirements:1. College-level or graduate or equivalent related experience.
2. Prior experience with medical insurance verifications and preauthorizations
3. Clear understanding of and familiarity with medical insurance benefits.
4. Prior office/clerical experience, preferably in a medical office environment
5. Basic knowledge of medical insurance and terminology
6. Computer literacy in a Windows environment with an emphasis on data entry |
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