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Insurance Verification Specialist
2 months ago
- Description:*
- Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
- Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks, workflow, email, etc.
- Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days and patient responsibility to the agency.
- Reviews and replies to branch locations urgent requests.
- Obtains all authorization needed from payer for services ordered or requested.
- Documents specific details related to the authorization including effective and end dates.
- Serves as a liaison between the branch location and the payer on a regular basis.
- Manages work assignment to ensure all tasks and coordination notes are completed.
- Skills:*
- Additional Skills & Qualifications:*
- 1-2 years of insurance verification experience or experience working front desk in a doctor or hospital setting
- Need to be an independent thinker
- Excel Assessment
- Experience Level:*
