Insurance Verification Specialist

Insurance Verification Specialist

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locations

Remote-FL

time type

Full time

job requisition id

1632103

*Able to work remote anywhere in the United States, Monday - Friday; 12:00 - 9:00 p.m. EST.  

Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits.

• Obtain and verify insurance eligibility for services provided and document complete information in system

• Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies

• Collect any clinical information such as lab values, diagnosis codes, etc.

• Determine patient’s financial responsibilities as stated by insurance

• Configure coordination of benefits information on every referral

• Ensure assignment of benefits are obtained and on file for Medicare claims

• Bill insurance companies for therapies provided

• Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures

• Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs

• Handle inbound calls from patients, physician offices, and/or insurance companies

• Resolve claim rejections for eligibility, coverage, and other issues

• Performs other duties as assigned

• Complies with all policies and standards

 

High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor’s degree in related field can substitute for experience. Experience with payors and prior authorization preferred.

Pay Range: $15.87 - $27.25 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.