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We are seeking a detail-oriented and highly organized Insurance Verification and Benefit Executive to join our team. As a key player in our healthcare organization, you will be responsible for verifying insurance information to ensure accurate billing and claims processing. If you have a strong background in insurance verification, attention to detail, and a commitment to ensuring a seamless experience for both patients and providers, we want to hear from you.
Key Responsibilities:
· ·Review Scheduled Patients: Check the list of patients scheduled for the next day.
· Prioritize Verification: Prioritize verification based on external factors that may impact the verification time, considering insurer processing times and appointment dates.
· Complete PPO/HMO Forms: Fill out the PPO/HMO forms with information received from the clinic, patient/client, and the verification conducted with the insurance provider.
· Database Entry: Store information in the designated database in a clear and legible manner.
· Utilize Identification Methods: Use company-designated identification methods to confirm the patient's eligibility for medical center services.
· Meet Verification Metrics: Adhere to verification compliance metrics, meeting both daily
· Communication: Interact with patients to obtain additional insurance details or clarify information.
· Problem Resolution: Investigate and resolve insurance-related issues, discrepancies, or challenges.
· Customer Service: Provide excellent customer service to both internal and external stakeholders.
Job Specification:
· Excellent working knowledge of EHRs & Medical Billing Software like CureMD, Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder pro, Payer Portals, and other related tools and software.
· Good knowledge of Medical Billing.
· Proficiency in using insurance verification software and electronic health record systems.
· Authorization (Pre, Post, and Retro)
· Research and Management Reporting
· Must be a good team player
· Strong verbal (English) and written communication (Good Typing speed).
Experience:1 - 2 years
Job Type: Full-time
Work Location: In person
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