Physical Therapy Insurance Pre Certification Team Lead
1 week ago
Georgia Bone and Joint is seeking an experienced insurance verification specialist to supervise our rehabilitation pre Certification team.
This person will communicate with insurance companies, patients, and healthcare providers to ensure we receive accurate coverage details, provide necessary information for authorization and continued visits, resolve discrepancies, create, and maintain digital records, all required to help and ensure proper claim filings.
This role requires accuracy and attention to detail, knowledge of insurance terms and policies, and effective communication skills to be successful.
As a supervisor, you will also be responsible for adequate staffing of the department, managing time off requests, review and correct timesheets, working with management and HR to promote a cohesive work environment to include disciplinary measures whenever necessary.
Key Responsibilities
Accurately verify patient insurance benefits for authorization of visits using online information or by calling insurance companies to obtain necessary and accurate information.
Create documentation to communicate the information to providers and help track approved visits.
Monitor schedule daily for coverage changes and update patient records with accurate insurance information.
Review and interpret insurance policies and benefits.
Work with insurance companies, branches, intake personnel, and others as required to collect, update, and manage needed information.
Responsible for obtaining, tracking, communicating, and extending authorizations as needed per insurance company requirements promptly.
Verify receipt of all necessary pre-authorization documents prior to therapy and maintain insurance authorizations for current patients.
Collaborate with medical billing team to ensure accurate claims submission and assist in researching claim denials.
Ensure that all insurance information needed for billing and collection processes are appropriately obtained and recorded in the computer system and EMR.
Maintain confidentiality of patient information in compliance with HIPAA regulations.
Must be well organized, a self-starter, and able to prioritize tasks based on greatest need daily, without constant supervision.
Must be comfortable with computers, MS Word, and Excel.
Perform other related duties as assigned by management.
Dedicated - Devoted to a task or purpose with loyalty or integrity
Team Player - Works well as a member of a group
Detail Oriented - Capable of carrying out a given task with all details necessary to get the task done well
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