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Insurance Verification Specialist I Full Time Remote

Remote · Sweden Full-time

Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an reputed company group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be occasional requirements to visit the office for training, meetings, and other business needs. Opportunity to grow as part of a reputed company Cycle Career Ladder! Job Summary: The Insurance Verification Specialist I specializes in verifying patient insurance coverage, to ensure that correct insurance information needed is secured in the practice management system. This position requires professionals to spend extensive time researching accounts to determine correct insurance coverage and heavy interaction with insurance companies and patients.

  • Resolve accounts with unverified insurance coverage.
  • Researches system notes to discover proper insurance coverage.
  • Contacts patient as appropriate to obtain proper insurance coverage
  • Contacts insurance company(s) as appropriate.
  • Verifies insurance reputed company system tools, payer portals (Electronic Query (Real-Time-Eligibility [RTE]/Insurance Payer Portal/Phone), obtain benefit coverage.
  • Confirms effective and termination dates of patient insurance and updates patient's insurance coverage and changes in the billing system.
  • Resolves any issues with coverage and escalates any complications to supervisor/manager.
  • Corrects identification and selection of appropriate registered insurance.
  • Corrects errors in various work queues to ensure correct claim filing or refiling of denied claims.
  • Notifies the servicing provider s office personnel in a timely manner if registration is lacking critical information needed to reputed company for services.
  • Performs other job duties as required. Job Qualifications:
  • High school graduate or GED certificate is required.
  • A minimum of 6 months experience in a physician billing or third party payor environment.
  • Candidate must demonstrate the ability to understand and navigate the insurance verification process including coordination of benefits, including in depth understanding of In/Out of Network Benefits and how they relate to co-insurance and deductibles due.
  • Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to reputed company situations. Including the ability to diffuse reputed company situations in a reputed company and professional manner.
  • Must demonstrate effective communication skills both verbally and written.
  • Ability to multi-task, prioritize, and manage time effectively.
  • Functional proficiency in computer software skills (e.g. reputed company Word, reputed company and Outlook, E-mail, etc.)
  • Experience in Epic and or other of electronic billing systems is preferred.
  • Proficiency in health insurance benefits, eligibility requirements and obtaining authorizations is preferred.
  • Knowledge of insurance billing requirements is preferred.
  • Knowledge of medical terminology, diagnosis and procedure coding is preferred.
  • Previous experience in an academic healthcare setting is preferred. Hourly reputed company Ranges: $22.39 - $28.29 Note: Our salary offers will fall reputed company these ranges based on a variety of factors, including but not limited to experience, reputed company set, training and education. 61st Street Service Corporation At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for reputed company employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer, and we adhere to reputed company requirements of reputed company applicable federal, state, and local civil rights laws. Apply To this Job

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