Insurance Verification Specialist

3 weeks ago

Saint Louis County Missouri, United States Empowerme Wellness Full time
Overview:
Grow your career At EmpowerMe Wellness, you’ll find opportunities for promotion, continuing education, and great benefits, all while making a real difference in the life of seniors. Our results are in our success stories – come write yours with us. Join our team today

 

Who We Are

EmpowerMe Wellness – is on a mission to improve the lives of seniors and the communities they call home We provide fully integrated on-site therapy, pharmacy services, primary care, and more at senior living communities nationwide. Our experienced team of more than 3,000 clinicians and professionals provide personalized health and wellness solutions for seniors in more than 35 states. To learn more about us, visit (url removed).

 

Responsibilities:
As an Insurance Verification Specialist with EmpowerMe you will be responsible for performing insurance verification and health information management tasks. Key functions of this role will involve verification of medical eligibility and coverage of benefits and addressing billing issues related to missing/incomplete documentation and/or charges.  The ability to review and collect information in a thorough and detailed manner, as well as timely response and communication, are critical to the success of this position.

Obtain preregistration patient demographic information and insurance information required to create a medical record and input collected information into billing software in a complete and accurate manner.

Perform verification of benefits and referral/authorization collection within the assigned region.

Serve as an intermediary between patients and outside sources related to questions or problems which patients may have regarding their insurance benefits.

Organize and transmit necessary documents to referring providers validating and approving the plans of care constructed by the clinical team.

Ensures the prompt return of initial and recertified signed Plans of Care from referring providers.

Perform general business office work including answering phones, retrieving voice mail, and returning calls to patients and providers.

Organize and scan and/or save all paper and/or electronic documents received from outside sources into the EMR accurately.

Review and update patient electronic records ensuring the accuracy of information and identifying missing data.
 

Qualifications:
Bachelor’s degree or associate degree plus 1 year of professional office experienceor High School diploma or GED plus 2 years of professional office experience (professional office experience in a healthcare setting is preferred).

Must exhibit a very high level of thoroughness & detail orientation.

Goal- and result-oriented, as well as self-motivated with a sense of professional curiosity, desire to learn new things, and to find/recommend solutions to problems.

Excellent communication and interpersonal skills are required.

Must have the ability to work in a fast-paced environment, remain calm in stressful situations, to be flexible, to work well with many interruptions, and have skill in multi-tasking.

Must exhibit and promote a high level of customer service, hospitality, curiosity, and friendliness towards all clients, visitors, and coworkers.  

Quickly adapts to change and takes a proactive approach to problem-solving.

Knowledge and understanding of HIPAA and CMS guidelines.

Ability to analyze, interpret and draw inferences from research findings and prepare reports.

Knowledge of and experience with insurance benefit coordination, medical credentialing, and medical billing.

Working knowledge of clinical and/or agency operations and procedures.

Ability to use independent judgment to manage and impart confidential information.

Database management skills including querying, reporting, and document generation.

 

What We Offer For Full Time Employees:     

-401 K   

-Full Benefits   

-PTO   

-HSA and FSA   

-Life and Disability Insurance   

-EAP   

-Career Advancement Opportunities and Cross Training Opportunities     

-Recognition Programs   

-FUN and much more   

  

    

This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer.   

 

 

 

 

 

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