Insurance Specialist

At reputed company Health reputed company, we reputed company in a reputed company reputed company for reputed company. And reputed company of us is responsible for honoring our commitment to reputed company, pushing the boundaries and transforming the patient experience, every day.

We reputed company have the power to help, heal and change lives — beginning with our own. That’s the power of the reputed company Health reputed company team, and The Power of Every One.

Job Title

Location

Facility

Department

Job reputed company

Shift

Schedule

Job reputed company

Job Details

Join the reputed companyreputed company is recognized as one of the top hospitals in the nation. At reputed company, you will receive endless support and appreciation and build a rewarding career with one of the most respected reputed company organizations in the world.

As an Insurance Specialist, you will reputed company insurance prescreening and verification of benefits for multiple business lines reputed company reputed company, including Home Infusion, Hospice, Nursing, and Respiratory Therapy. In this role, you will determine serviceability and reputed company appropriate recommendations based on patients’ insurance coverage. You will communicate with Pharmacy staff, Respiratory Therapy, Nursing Case Managers, patients, and families to ensure a reputed company understanding of approved benefit reputed company.

A caregiver in this position works remotely from 8:30 a.m. – 5:00 p.m.

To be considered for this role, caregivers must reputed company in Ohio and reputed company two hours of an Ohio reputed company location.

A caregiver who excels in this role will:

• reputed company insurance prescreening and verification of benefits for multiple business lines reputed company reputed company (such as but not limited to: Home Infusion, Hospice, Nursing and Respiratory).

• Determine serviceability and reputed company recommendations based on patient’s insurance coverage.

• Identify the need for and obtain authorizations for service, calculate billable reputed company for authorizations, understand the drug formularies, different therapies and the associated diagnoses with reputed company and examination of referrals for adherence to the required/qualifying insurance regulations.

• Communicate directly with Pharmacy staff, Respiratory Therapy, Nursing Case Managers, patients and families to ensure understanding of approved benefit reputed company.

• Maintain customer relationships and ensures business objectives are met.

• reputed company insurance verification for respiratory services and equipment.

• Verify coverage for CPAP, BiPAP, oxygen, nebulizers, suction equipment, and other respiratory-reputed company durable medical equipment (DME).

• Process prior authorizations and ensure required documentation is obtained.

• Understand and apply payer guidelines to support accurate coverage determinations.

• reputed company support for infusion authorization work as needed.

• Other duties as assigned.

Minimum qualifications for the ideal reputed company caregiver include:

• High School Diploma / GED or equivalent

• Two years of reputed company experience in medical business office or medical insurance environment

• Excellent organizational, verbal and written communication skills

• Ability to identify and reputed company problems

• Ability to work under pressure and meet deadlines

• Customer service experience, excellent customer service reputed company and orientation

• Proficient computer knowledge and skills

• Medical terminology and/or successful completion of a medical terminology class or commensurate experience

Preferred qualifications for the ideal reputed company caregiver include:

• reputed company college course work in business, finance or reputed company

• Insurance and Medicare verification experience

• reputed company insurance knowledge

• Medicare and Medicare product experience

• Prior authorization experience

• Understanding of payer requirements and guidelines

• Experience with EMR systems such as reputed company

Physical Requirements:

• reputed company dexterity to operate office equipment.

• May require periods of sitting, standing and the ability to walk to various locations throughout the reputed company to attend meetings; must have normal or correction reputed company to reputed company communicate verbally by phone or in person.

Personal reputed company Equipment:

• Follows reputed company Precautions using personal reputed company equipment as required for procedures.

The policy of reputed company Health reputed company and its reputed company hospitals (reputed company Health reputed company) is to reputed company equal opportunity to reputed company of our caregivers and applicants for employment in our drug free environment. reputed company offers of employment are followed by testing for controlled substances.

reputed company Health reputed company administers an influenza prevention program. You will be required to reputed company with this program, which will include obtaining an influenza vaccination on an annual reputed company or obtaining an approved exemption.

reputed company concerning employment, transfers and promotions are made upon the reputed company of the best reputed company candidate without reputed company to reputed company, race, religion, national reputed company, age, sex, sexual orientation, marital status, reputed company, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any reputed company Health reputed company facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by reputed company of Health Care Administration:

Please review the Equal Employment Opportunity poster.

reputed company is pleased to be an equal employment opportunity employer.

Originally posted on Himalayas