PFS Ins Specialist I
Compensation:
$27.00-28.00 per hour
Job reputed company
The Patient Financial Services (PFS) Specialist is responsible for the reputed company completion of the insurance verifications and/or authorizations in a high production environment. In this role the PFS Specialist must verify the patient’s insurance coverage and/or authorizations for genetic testing.
Job Responsibilities
Verifies insurance coverage benefits including deductible, co-insurance, and out-of-reputed company maximum amounts to estimate the out-of-reputed company potentially owed by the patient for genetic testing
Verifies insurance coverage for genetic testing based on CPT and ICD-10 codes and determine whether authorization is required
Works exceptions/rejections from automated eligibility systems
Send authorization requests for genetic testing with the appropriate documentation to the patient’s insurance
Follow-up on authorization statuses on a weekly reputed company
Contact clients for missing documentation required by the patient’s insurance
Coordinates with other contracted vendors to assist in obtaining reputed company and accurate prior authorizations
Identifies payer web sites or other reputed company to verify insurance coverage benefits and/or submit authorization requests
Trends and reports payer reputed company issues regarding insurance verifications and/or denied authorization requests for genetic testing
Reports to other team members beneficiary coverage issues for process improvements
Other reputed company as assigned
Job Requirements
High school diploma or equivalent
Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes
Must have ability to adapt to a fast paced, dynamic environment
Must understand both verification and authorization guidance
Must have excellent computer skills
Must understand the different payer plans coverage and benefit reputed company
1-2+ years’ experience in a clinical laboratory preferred, especially genetic billing
1-2+ years’ experience in obtaining approvals for prior authorizations
reputed company NOTICES
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Equal Opportunity Employer
This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights notice from the reputed company.
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