Explain insurance coverage and treatment costs and identify the need for any pre-authorizations
Work with payers to obtain pre-authorizations necessary
Advise patients of coverage, limitations and exclusions, co-insurance, deductible, special program requirements
Communicate coverage, via electronic, phone, and in person communications
Determine patient responsibility amounts in advance of the related procedures
Serve as a Patient Advocate for patients when patients have difficulty navigating with their insurance company
Communicate to management about pre-authorization requirements and any update any changes
Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation
Respond to a high volume of telephone inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes
Meet positional metrics and benchmarks
Maintain the highest degree of ethics when handling patient payments and bill processing
Follow all department standard operating procedures carefully and accurately
Other duties as assigned
Requirements
2+ years of benefit verification strongly preferred
3+ years of healthcare front reception billing experience in a fast-paced, customer focused environment a plus
Possess a strong working knowledge of insurance benefits, Managed Care policies
Strong written and verbal communication skills & a team player
Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems
Detail oriented with strong organizational skills
Exemplifies amazing customer service skills and professionalism
Medical terminology
Benefits
Competitive compensation and benefits package
401K
Full suite of medical, dental, and ancillary benefits
Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.