Insurance

• Verify all patient information uploaded is accurate.
• Communicate information to the surgeon’s office to ensure requested information is completed accurately and returned to us in a timely manner.
• Review medical documents and patient information to ensure insurance criteria is met prior to billing
• Review and complete assigned daily reporting
• Other duties as assigned.
• Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies
• Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
• Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties

Insurance Verification Specialist

Customer Support

• Provides administrative support in the billing and collections function of the medical revenue cycle process.
• Prepares new charges, completes insurance verification, maintains patient records, and is responsible for collecting on outstanding accounts receivable.
• Understands and maintains all governmental, regulatory, and company billing and compliance regulations and policies for payers
• Assists patients in the resolution of the accounts, including processing payments by phone, setting up payment plans, filing appeals, and providing information to patients regarding intraoperative monitoring (IOM) services
• Addresses patient billing inquiries and concerns from patients, surgeon offices, and facility customers
• Obtains and documents all necessary information by contacting the patient, physician's office, hospital, next of kin, insurance carrier, etc.
• Identifies and reports to management any payer issues with regards to billing and collections
• Reviews and logs correspondence regarding patient balances and collections
• Processes, maintains, and rectifies accounts/records in a timely manner
• Performs other duties as assigned

NCS

Insurance Verification Specialist

Patient Customer Service Specialist