Licensed Insurance Agent – Property & Casualty
Qualfon
Insurance Verification Specialist
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $16 - $27 per hour
Job Level
Junior
About the role
- Obtain and verify complete insurance information, including the prior authorization process
- Perform prior authorizations as required by payor source
- Collect any clinical information such as lab values, diagnosis codes, etc.
- Determine patient’s financial responsibilities as stated by insurance
- 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
Requirements
- 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
Benefits
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billinginsurance verificationprior authorizationclinical information collectiondiagnosis codesfinancial responsibility determinationbenefits assignmentinsurance billingdocumentationreimbursement coordination
