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AdaptHealth logo
AdaptHealth

Empowering patients to live their best lives

Insurance Verification Specialist

InsuranceInsuranceFull TimeRemoteJuniorTeam 10,001+Since 2019H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

87 days ago

Salary

0

Seniority

Junior

High School1 yr expEnglish

Job Description

Insurance Verification Specialist

AdaptHealth

• Develop and maintain working knowledge of current products and services offered by the company. • Review all required documentation to ensure accuracy. • Maintains an extensive knowledge of different types of payer coverage and insurance policies. • Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by the individual’s insurance accurately. • Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles. • Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required. • Resolves any issues with coverage and escalates complicated issues to a Manager. • Completes accurate patient demographic and insurance entry into EMR databases. • Responsible for entering data in an accurate manner, into EMR databases. To include payer, authorization requirements and coverage limitations and expiration dates as needed • Position requires staff to spend extensive amounts of time on the phone or on payer websites with insurance companies. • Position requires representative to provide pertinent information regarding patient’s coverage. • Must be able to navigate through multiple online EMR systems to obtain applicable documentation. • Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies. • Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered. • Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process. • Meet quality assurance requirements and other key performance metrics. • Facilitate resolution on customer complaints and problem solving. • Pays attention to detail and has great organizational skills. • Actively listens to patients and handle stressful situations with compassion and empathy. • Flexible with the actual work and the hours of operation • Utilize company provided tools to maintain quality.

Job Requirements

  • High School Diploma or equivalent
  • One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
  • Senior level requires two (2) years of work-related experience and one (1) year of exact job experience. Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.

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