Insurance Eligibility
$43,680–$52,000 year
On-siteMontrose, California, United States
Job Summary
Submit authorization requests to assigned payers using paper forms, portals, or fax, then follow up to ensure timely approval. Obtain initial and reauthorization for patient care while verifying insurance eligibility and contacting patients or departments regarding negative outcomes. Assist billing with claims issues arising from denials and negotiate payment reimbursement from patients and third-party payers. Collect, review, and document demographic, insurance, and financial information with patients and payers while maintaining progress reports on outstanding authorizations. Work closely with clinical teams and referral sources regarding current and future authorization needs.
Required Qualifications
- Minimum of 1 year of experience in an insurance benefits coordinator role
- Minimum of 1 year of experience using EMR softwares
- Medical billing: 1 year
- High school or equivalent
- Ability to follow a written script
- Ability to submit comprehensive summary reports and other written materials
- Ability to multi-task in a fast-paced environment
- Strong technical aptitude to not only operate standard office equipment but also relevant software such as Microsoft Word, Excel, Outlook, EMR & Practice Management Systems and other applications
- Plan, organize, prioritize, and perform duties in accordance with department policy and procedure as assigned with minimal supervision
- Establish and maintain effective working relationships with our patients and all levels of staff
Desired Qualifications
- preferably in a home health setting
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