Therapy Insurance Specialist

2 days ago

Sacramento, California, United States i-Health Full time

The Insurance Specialist will provide excellent customer service and documentation while communicating with patients, insurance representatives, clinic personnel, and outside vendors. This position will primarily be responsible for insurance verification and review of patient benefits, sending/receiving and documenting patient charts.

This is a full-time position working M-F between the hours of 7:30 am - 5:00 pm & will support our entire therapy department. Training will take place at our Stillwater or Hudson location and once complete the role will move remote.

Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i-Health), a group of local medical practices, owned and led by its physicians, on a mission to give patients more control over their healthcare. We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.

Essential Functions:

  • Verify and document insurance information as defined by current business practices.
  • Research denials and report findings back to billing denial team
  • Accurately and efficiently schedule new and existing patients in the current practice management system
  • Answer inbound calls in a timely, pleasant and professional manner
  • Communicate all pertinent patient information regarding their call to include; appointment information, directions, check-in times, referral information and copayments
  • Ensure professional communication with patients, insurance representatives, clinic personnel, and outside vendors over the phone, via email or other written documentation and responding to all inquiries
  • Maintain a working knowledge of health care plan requirements and health plan networks
  • Make outbound phone calls to patients and/or insurance companies for benefit inquiries, authorization details and document according to current policy
  • Travel as needed for team meetings
  • Comply with all TCO and therapy policies and procedures
  • Ensure all work is handled in an organized and timely manner as designated by the lead, supervisor or manager
  • Complete daily tasks and follow up each day as designated
  • Demonstrate the ability to work as an effective team member by contributing to the development of cohesive relationships
  • If working at home, follow all requirements in the Telecommuting policy that Therapy Insurance Specialist addendum
  • Any and all other duties as assigned

Education and Experience Requirements:

  • High School diploma/GED or equivalent
  • Customer service experience required
  • Previous experience in a healthcare facility in relation to pre-registration, insurance verification, or appointment scheduling preferred

Essential Requirements:

Ability to:

  • Comply with company policies, procedures, practices and business ethics guidelines.
  • Complete job required training.
  • Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
  • Demonstrate prompt and reliable attendance
  • Work in the clinic, office or surgery center during business hours
  • Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required
  • Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
  • Communicate and interact in a respectful and professional manner
  • Prioritize workload while being flexible to meet the expectations of the daily operations
  • Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
  • Understand and execute a variety of instructions
  • Effectively operate equipment and communicate on and operate the phone system
  • Work independently with minimal supervision
  • Travel to other work locations, if required

Performance Expectations - i-Health's Core Values:

  • Integrity - Do the right thing and take responsibility for what you do and say
  • Service - Consistently contribute to deliver an exceptional experience
  • Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations
  • Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness
  • Teamwork - Be a part of the whole; support each other positively

Environmental Conditions:

  • Clinic/office/surgery center setting

Notes

  • Infinite Health Collaborative (i-Health) is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
  • This position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.


Infinite Health Collaborative (i-Health) is an Equal Employment/Affirmative Action employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.

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