Insurance Claims Specialist

1 day ago


Hollywood, Florida, United States iCare Health Solutions Enterprise Full time
Job Summary

We are seeking a highly skilled Insurance Verification Representative to join our team at iCare Health Solutions Enterprise. As an Insurance Verification Representative, you will play a critical role in ensuring that our patients receive the best possible care by verifying their insurance benefits and communicating with healthcare providers to obtain necessary authorizations.

Key Responsibilities
  • Verify insurance companies and primary care physicians online or over the phone to obtain benefit information
  • Complete billing tasks in a timely manner
  • Call primary care physicians to obtain referrals and/or authorizations when required
  • Inform patients regarding their insurance benefits, copays, deductibles, and self-pay balance due
  • Enter the authorization number in EMR with the correct CPT codes, NPI, Tax ID, PCP, and payer information
  • Follow up with the PCP or the insurance company for the authorization requested
  • Cancel and reschedule the patient's appointment when the authorization has not arrived at 4 pm prior to the DOS
  • Check if the patient's insurance information is correct and matches with the insurance verification and expires all inactive payers
  • Answer phones promptly and courteously handle requests and inquiries, or routes accordingly
Requirements
  • Customer Service experience
  • Ability to handle multiple tasks simultaneously in a fast-paced environment
  • Ability to handle and diffuse patient complaints and disagreements
  • Exceptional communication and interpersonal skills
  • Experience navigating Electronic Medical Records and Outlook
  • Bilingual in English/Spanish
What We Offer

We offer a competitive salary range of $13-$17 per hour, as well as eligible bonuses and commissions. For more information regarding iCare benefits, please click here.



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