Insurance Verification Specialist

Millennium Physicians Association

Kingwood, TX, USA Remote Well Paid Job

Jul 25

*We are hiring immediately for Insurance Verification Specialist in Kingwood, Texas!*

*Essential Functions: *

* Gather relevant data for eligibility and benefit verification including all medical codes and billable CPT codes per orders
* Verify eligibility and medical benefits with third party payers for scheduled patient services and re-verification of the benefits for all the current patients
* Obtain prior authorizations, pre-determinations, or any prerequisites prior to services being rendered. Complete daily authorization report in the EMR
* Ensure the patient meets all criteria as outline by the third party payer’s reimbursement policies and or clinical policies
* Generate a patient financial treatment estimate and counsel each patient prior to the day of their scheduled office visit
* Identify patients in need of financial assistance and submit to the financial assistance department for evaluation
* Document all patient financial counseling activities, benefit details, eligibility and interactions in the patient’s electronic chart
* Communicate to scheduling personnel and ordering physicians and staff any delays in the financial counseling process including patients that are not cleared for their office visit in a timely manner
* Counsel, educate, and assist patients with inquiries regarding to their financial responsibility, assistance availability, insurance, and benefits

* Perform other duties assigned by management

*Experience: *
* Minimum of 1 year experience as an insurance specialist in the healthcare environment performing clerical duties, billing duties in a hospital or physician practice setting- required

*Requirements: *
* 6+ months experience in Benefits Verification experience or Prior Authorization experience-required
* High School Diploma or equivalent-required
* Billing and coding knowledge- preferred
* Ability to project a professional image

*Knowledge/Skills: *
* Working knowledge of medical billing, CPT codes, and ICD10s
* Knowledge of medical terminology
* Proficiency with electronic medical records (EMR) and practice management software
* Strong knowledge of payer guidelines and reimbursement policies
* Effective interpersonal and communication skills
* Ability to work independently and collaboratively within a team environment
* Strong time management, organization, multi-task and analytical skills

Job Type: Full-time

* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
* 8 hour shift
* Monday to Friday
* No weekends

Application Question(s):
* This position is located near Kingwood, can you commute?

* Insurance verification: 3 years (Preferred)

Work Location: One location

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