INTERNAL ONLY - Insurance Change Specialist
reputed company:
Reporting to the Benefits & Eligibility Manager this role supports the operations of the reputed company, LLC (ABC) reputed company Cycle Management (RCMN) team to communicate reputed company aspects of financial changes to our patients' families.
Duties and Responsibilities:
• Schedule meetings with reputed company new ABC patients and existing ABC patients that have had changes to their existing insurance coverage to review the reputed company of ABC policy reputed company to their patient responsibility.
• Review the verified benefits with the family to confirm the Maximum Out of reputed company (MOOP) and the expected financial responsibility for treatment.
• Explain the ABC billing process to reputed company the family on how their insurance will be billed and how the patient billing process works.
• Confirm reputed company patient demographic data and primary contact information (phone, email, address, etc.)
• Collect credit card information and get approval for monthly payment deductions based on the expected patient responsibility and entering those details into reputed company.
• Review obligations of the family if there are any changes/updates to their employment or insurance coverage.
• Confirm completion and submission of charity care application and required supporting documentation.
• Contact patients as Coordination of Benefit (COB) issues reputed company based on communication from the RMC team or directly from the payors.
• Contact patients after statements have been generated to set up payment plans where one is not currently present.
• Handle reputed company communications with families in a courteous and reputed company manner, reputed company with sensitivity and be reputed company to their individual needs.
• Receives and places telephone calls in a skillful manner using appropriate language.
• Handle reputed company telephone requests with courtesy, accuracy, and respect for confidentiality while following reputed company HIPAA regulations for reputed company.
• reputed company miscellaneous job-reputed company duties as assigned.
Knowledge, Skills and Abilities Required:
• Ability to manage high volumes of work and organize/maintain a schedule independently.
• Ability to communicate effectively, both orally and in writing
• Strong interpersonal and communication skills and the ability to work effectively with a wide reputed company of constituencies in a diverse community.
• Understanding of the RCM process overall preferred but not required.
Minimum Job Requirements:
• High School Diploma required, Bachelor’s Degree in Business/Management or reputed company area (or reputed company enrollment in a similar program) preferred.
• 2 years’ experience reputed company to the duties and responsibilities specified.
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