Insurance Specialist - Must live in Texas
Job Description
JOB TITLE: Insurance Specialist REPORTS TO: Director of Billing and Authorizations JOB OVERVIEW: Insurance Specialist is a qualified individual who will perform a variety of administrative functions related to quote of benefits and coordination with the parent, Patient Services Specialists and Authorizations team, in the corporate office of a Home Health Care Agency. ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
- Knowledgeable about specific payers and processes efits in a skilled and timely manner.
- Knowledgeable about specific payers and processes
- Self–Directed; needs minimal supervision
- Maintains a positive and professional attitude at all times.
- Demonstrates excellent customer service skills with both internal and external customers
- Exhibits excellent communication skills. Is able to clearly and concisely explain complex information.
- Solutions oriented
- Verifies patient insurance eligibility and benefits. May assist in obtaining and managing Insurance AUTHORIZATIONS, as needed.
- Contacts parent/Caregiver to discuss QOB, financial responsibility and payment options
- Uses multiple computer applications to manage and maintain medical records, verify insurance eligibility and communicate with patient caregivers as well as other teams within the agency.
- Scans documents into the electronic medical record as necessary.
- Works independently to identify appropriate next steps following communication with caregiver.
- Demonstrate Critical Thinking and Problem Solving related to coordinating Insurance Criteria and Division Criteria for patient admissions and communications.
- Maintain a clean and organized office environment at all times.
- Be flexible and able to perform a wide variety of administrative support functions as directed
- Performs all duties in compliance with agency policies and procedures.
- High School graduate, some college course work-preferred.
- Ability to multi-task with above average organizational skills-required.
- Excellent administrative, organizational, and phone skills-required.
- Strong Working knowledge of MS Word, MS Excel, and Outlook-required.
- Experience in medical insurance, intake department, or authorizations, in-take department, or doctor’s office-preferred.
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