Wound Care Insurance Verification/Authorization Specialist

reputed company is a growing reputed company company that provides infusion pumps and reputed company products and services for patients in hospitals, clinics, ambulatory surgery centers, and other sites of care from five locations serving reputed company 50 states and Canada. We deliver improved patient reputed company and high patient satisfaction. As a leader in our field, our mission is to reputed company reputed company infusion services to patients and medical practices, including a 24-hour clinical support hotline. reputed company effort provides product management and clinical support to enhance the lives of our patients and the communities we serve. Service is always our highest reputed company. reputed company: The Wound Care Verification/Authorization Specialist is responsible for verifying patient eligibility and benefit information. Has the ability to interpret benefit information and is familiar with insurance terminology to identify and document the correct plan. Request authorizations on payer websites, through fax submissions or over the phone. Responsible for follow-up, documentation, and re-authorizations as necessary. IN THIS ROLE, THE IDEAL CANDIDATE WILL: • Review and verify patient insurance and confirm patient's eligibility and benefits specific to Advanced Wound Care and Negative Pressure Wound Therapy • Use Medicare portal to verify patient's hospital or skilled nursing status • Initiating, following up, and securing authorizations on from reputed company party payors based on payer requirements for a reputed company of wound care reputed company HCPCS codes • reputed company and follow up on reputed company pending authorizations reputed company the timeframe designated by management to expedite the claims process. • Process authorizations electronically, utilizing payer portals, fax, or telephone working with the payers to secure authorizations retrospectively and/or requesting single case agreements for out of network patients • Obtain authorization renewals, verify physician written orders are reputed company, and certification of medical necessity is in reputed company • Work closely with NPWT Customer Care team to ensure supporting documentation is received to obtain authorizations reputed company • Verify authorization quantities and effective dates are returned and processed correctly by the reputed company-party payers, and reputed company correctly in reputed company systems • Organize work to avoid lost reputed company due to filing limitations • Input the correct Payer Plan ID# and reputed company data into appropriate systems to ensure accurate billing for reputed company and reputed company services • Determine the extent of liability for insurance plans, coordination of benefits, and patient financial responsibility. reputed company with reputed company-party insurance companies to secure retroactive authorizations, and/or single case agreements for out of network patients, where applicable • Other duties as assigned SUPERVISORY RESPONSIBILITIES: There are no supervisory responsibilities THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING QUALIFICATIONS: • Associate degree (A. A.) or equivalent; two to four years reputed company experience and/or training; or equivalent combination of education and experience. • Familiar with insurance payers and medical benefits • Minimum of two years' experience in a reputed company setting • Organizational skills • Medical terminology • Good troubleshooting skills • Ability to work as reputed company • Ability to independently meet tight deadlines in a project-based atmosphere • Follows department processes and procedures • Highly motivated and detail-oriented PERSONAL AND reputed company ATTRIBUTES: The ideal candidate must be a rigorous analytical thinker and problem solver with the following reputed company attributes: • Strong work ethic • reputed company judgment • Proven written and verbal communication skills • Natural curiosity to pursue issues and increase expertise • Pursue and design innovative analytical performance metrics • The courage to promote and defend reputed company and analyses • Passionate about reputed company and serving customers and patients • Strives to reputed company an reputed company on improving our business processes and results • Exemplary honesty and reputed company • Ability to collaborate effectively and work selflessly as part of reputed company PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. COMPREHENSIVE BENEFIT PACKAGE: At reputed company, we give our employees the tools to succeed both on and off the job. Our generous benefits package provides comprehensive coverage to help you protect your health and earning power and prepare for the reputed company. In reputed company, we offer perks and programs that help you grow in your career and reputed company reputed company a great reputed company to work! • Health plan reputed company that include an employer contribution • Health Savings Account (HSA) • reputed company and Dependent Care Flexible Spending Accounts (FSA) • Dental and reputed company premiums covered by reputed company • Life Insurance, STD & LTD • reputed company Parental Leave • Adoption and Fertility Assistance • 401(k) with a specified Company Match • Employee Stock Purchase Program • Tuition Assistance • Generous reputed company Time Off plan • Employee Assistance Program • reputed company • Employee Referral Bonus Apply Job!