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Insurance verificationa & authorization specialist

Company: Pediatric Physical & Occupational Therapy, PLLC
Location: New City
Posted on: April 10, 2021

Job Description:

Qualifications: 3-5 years' experience (required) Verification of Insurance benefits at in-network and out-of network level Obtaining Insurance Authorization of services Knowledge on GAP Exceptions, in network deficiencies Experience with EMR Experience Required: Prior experience working with Medicaid and commercial insurance payers in the therapy field Communication with patients both over the phone, in person and email Handling patient intake Insurance eligibility verification Convey benefit levels to patient and answer related questions Obtaining insurance authorization for services Assist with A/R claims follow-up Responsibilities and Duties: Patient Intake and the ability to communicate the value of our services Contact insurance companies to verify benefits and eligibility. Secure a GAP Exception for out of network patients Obtain authorizations prior to and during treatment Accurately enters all information into the EMR. Enters appropriate level of detail to maintain clear records. Documents and shares patient responsibilities including co-pay, coinsurance, deductibles and notes the account accordingly Follow up on denials to achieve a resolution Performs monthly verification for Medicaid patients Assists other team members as needed (answer phones, front desk scheduling, faxing, emailing, maintaining accounts etc) Regularly update procedures so that all aspects to the role is documented clearly. Adheres to HIPPA guidelines for patient confidentiality Skills Needed: Excellent phone skills, demonstrating understanding, empathy and compassion Professional/courteous to both patients and team members Works well in a team setting Strong verbal and written communication Excellent organizational, time management and follow up skills. Ability to multi task, prioritize needs to make deadlines Ability to work in a fast based environment Proficient in EMR and scheduling/billing software Demonstrates perseverance to get the job done Strong attention to detail Strong data entry skills Employment Type: Part Time Years Experience: 3 - 5 years Salary: $17 - $20 Hourly Bonus/Commission: No

Keywords: Pediatric Physical & Occupational Therapy, PLLC, Yonkers , Insurance verificationa & authorization specialist, Other , New City, New York

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