Do you could have a ardour for healthcare and serving to others? Do you take pleasure in working in a fast-paced, patient-centered atmosphere? Bounce-start your profession in our Insurance coverage Verification division. Submit your utility right now!
Our workers come first. We offer a complete compensation package deal to verify your wants are met. Select the medical protection package deal that most accurately fits you. Take care of your family members whereas nonetheless getting paid with our Paid Household Depart. Plan to your future with our matching 401okay or opt-in for a number of different advantages together with tuition help, scholar mortgage compensation, household and medical flex spending accounts, life insurance coverage, and identification theft safety.
Our Insurance coverage Verification groups are a dedicated, caring group of colleagues. We’ve got a ardour for creating constructive affected person interactions. In case you are devoted to caring for the well-being of others, this may very well be your subsequent alternative. We wish your information and experience!
As an Insurance coverage Verification Consultant, you can be liable for well timed and correct insurance coverage verification in addition to precisely decoding managed care contracts. It is a full-time do business from home place. It’s required that you just stay within the Pensacola space.
WHAT YOU WILL DO IN THIS ROLE?
- Conducts Insurance coverage verification course of inside 24 hours of receipt of reservation/notification for each inpatient and outpatient companies.
- Follows scripted advantages verification format in applicable methods customized advantages display screen and file advantages.
- Contacts doctor to resolve points relating to prior authorization or referral varieties.
- Carry out digital eligibility affirmation when relevant and doc outcomes.
- Researches Affected person Go to Historical past to make sure compliance with the Medicare 72 hour rule.
- Completes Medicare Secondary Payor Questionnaire as relevant for retention in Abstracting module.
- Performs insurance coverage verification and account standing modifications by assigned facility.
- Communicates with hospital primarily based Case Supervisor as crucial to make sure immediate decision of pre-existing, non-covered, and re-certification points.
- Makes use of system account notes and Collections System account notes as applicable to cut-n-paste profit and pre-authorization data and to doc key data.
- Carry out Insurance coverage Verification actions primarily based on manufacturing quotas. Totally able to assembly quotas.