Insurance Specialist
3 days ago
Shepherd Center is seeking a highly skilled Insurance Verification Specialist to join our team. As a key member of our patient financial services team, you will play a critical role in ensuring seamless insurance and benefits verification, pre-certification, and pre-authorization for patients at our facility.
Responsibilities:- Coordinate insurance and benefits verification, pre-certification, and pre-authorization for patients.
- Develop and lead training for new staff members.
- Verify benefits and obtain proper billing address and phone number for carriers.
- Identify and obtain information on liability policies that may be a source of payment.
- Assign payer plan codes in our electronic health record system.
- Utilize online systems, phone communication, and other resources to verify eligibility and benefits.
- Ensure all required clinical documentation is obtained and submitted for timely pre-certification.
- Serve as a point of contact for addressing account issues, patient concerns, or billing and insurance questions.
- High school diploma or GED required.
- Associate or Bachelor's degree preferred in healthcare administration or related field.
- Certified Healthcare Access Associate (CHAA) certification required.
- Certified Patient Account Representative (CPAR) certification required.
- Minimum of two years' professional experience in an outpatient setting, rehabilitation center, or as an external case manager.
- Knowledge of Commercial, Managed Care Contracts, and Governmental Insurance Plans.
- Excellent communication and customer service skills.
- Familiar with general office equipment.
We offer a competitive compensation and employment benefits package, as well as opportunities for career advancement and continuing education. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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