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Insurance Verification Specialist

2 months ago

Louisville, United States EBlu Solutions LLC Full time $19
Job DescriptionJob DescriptionDescription:

Looking for an opportunity to be behind the scenes helping patients get to treatment sooner?

This is the role for you eBlu's Insurance Verification Specialist role is a key role that collects information from the payers (insurance companies) to provide back to the practices located all over the United States. We are looking for individuals who are patient, able to pivot when needed, have attention to detail, are ethical in their work, and possess positive attributes.


This role has position expectations and responsibilities that are set up in tier success so you are aware of your progress at all times to moving to that next level. eBlu is a growing company with the potential to continue growth for those seeking those steps.


Highlights to consider before applying:

Starting pay is $19 an hour

In-Office position: Monday through Friday 8:00 am to 4:30 pm

Call Center setting with the potential to promote internally

The location is Downtown Louisville



POSITION SUMMARY:

The Insurance Verification Specialist is responsible for verifying patient insurance coverage to ensure necessary procedures are covered by an individual’s health care provider. The role is responsible for entering patient benefit information into the system and verifying the existing information is accurate. The Insurance Verification Specialist position requires an extensive amount of time on the phone with insurance payers.


RESPONSIBILITIES:

  • Insurance Verification Specialist makes outbound calls to Insurance Payers and/or Specialty Pharmacies to obtain patient benefits.
  • Process documents based on department guidelines per standards and performance indicators.
  • The Insurance Verification Specialist maintains all patient confidentiality.
  • Must have excellent multitasking skills to allow for a successful Insurance Verification Specialist.
  • Must be very detail-oriented and organized to maintain accurate patient insurance records.
  • Ability to focus and work quickly within a 24-hour turnaround for patient insurance information.
  • The Insurance Verification Specialist must work well with others as part of a team.
  • Ability to express ideas clearly in both written and oral communications.
  • Other duties and responsibilities as assigned by the supervisor based on the specific client contract.
Requirements:

PHYSICAL AND TECHNICAL ENVIRONMENT:

  • Ability to work at a desk in the office for long periods of time.
  • The noise level in the work environment is moderate.
  • Specific vision abilities required by this job include close vision.
  • Ability to maintain focus under high levels of pressure/multiple priorities.

REQUIRED EXPERIENCE:

  • General knowledge of insurance companies, insurance plans, and functionality; operational policies and processes.

REQUIRED EDUCATION:

  • High school diploma

PREFERRED EXPERIENCE, SKILLS, AND ABILITIES:

  • 1-3 years experience in a health plan, facility, healthcare provider office, or pharmaceutical industry.
  • Working knowledge of reimbursement (i.e. benefit investigation, prior authorization, pre-certification, letters of medical necessity).
  • Knowledge of Medical Terminology preferred
  • Working knowledge of drug reimbursement issues
  • Understanding of Health Plan Medical Policies and Prior Authorization Criteria
  • Knowledge of HCPCS, CPT, and ICD-10 coding
  • Data entry skills required
  • Ability to resolve problems independently
  • Ability to follow instructions


eBlu Solutions seeks talent from all backgrounds to bring a diversity of thought, agility, and capability to our organization. We promote a working environment where all employees are treated and rewarded fairly. We do not tolerate any form of discrimination that adversely affects individuals or groups based on national origin, race, color, religion, sex, gender, sexual orientation, marital status, disability, age, or any other legally protected aspect of a person’s identity.


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