Insurance Verification Specialist
Company: eBlu Solutions LLC
Location: Louisville
Posted on: January 27, 2023
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Job Description:
Description: Looking for an opportunity to be behind the scenes
helping patients get to treatment sooner? This is the role for
you!! eBlu's Insurance Verification Specialist role is a key role
that collects information from the payers (insurance companies) to
provide back to the practice which is located all over the United
States. We are looking for candidates that are patient, able to
pivot when needed, have attention to detail, and possess positive
attributes. This role has position expectations and
responsibilities that are set up in tier success so you are aware
of your progress at all times to moving to that next level. eBlu is
a growing company with the potential to continue growth for those
seeking those steps.POSITION SUMMARY:The Insurance Verification
Specialist is responsible for verifying patient insurance coverage
to ensure necessary procedures are covered by an individual's
health care provider. The role is responsible for entering patient
benefit information into the system and verifying the existing
information is accurate. The Insurance Verification Specialist
position requires an extensive amount of time on the phone with
insurance payers.RESPONSIBILITIES: Insurance Verification
Specialist makes outbound calls to Insurance Payers and/or
Specialty Pharmacies to obtain patient benefits.Process documents
based on department guidelines in accordance with standards and
performance indicators.The Insurance Verification Specialist
maintains all patient confidentiality.Must have excellent
multitasking skills to allow for a successful Insurance
Verification Specialist.Must be very detail-oriented and organized
to maintain accurate patient insurance records.Ability to focus and
work quickly within a 24-hour turnaround for patient insurance
information.The Insurance Verification Specialist must work well
with others as part of a team.Ability to express ideas clearly in
both written and oral communications.Other duties and
responsibilities as assigned by the supervisor based on the
specific client contract.Requirements: PHYSICAL AND TECHNICAL
ENVIRONMENT:Ability to work at a desk in the office for long
periods of time.The noise level in the work environment is
moderate.Specific vision abilities required by this job include
close vision.Ability to maintain focus under high levels of
pressure/multiple priorities.REQUIRED EXPERIENCE:General knowledge
of insurance companies, insurance plans, and functionality;
operational policies and processes.REQUIRED EDUCATION:High school
diplomaPREFERRED EXPERIENCE, SKILLS, AND ABILITIES:1-3 years
experience in a health plan, facility, healthcare provider office,
or pharmaceutical industry.Working knowledge of reimbursement (i.e.
benefit investigation, prior authorization, pre-certification,
letters of medical necessity).Knowledge of Medical Terminology
preferredWorking knowledge of drug reimbursement
issuesUnderstanding of Health Plan Medical Policies and Prior
Authorization CriteriaKnowledge of HCPCS, CPT, and ICD-10
codingData entry skills requiredAbility to resolve problems
independentlyAbility to follow instructionsEEO CODE - eBlu
Solutions is fully committed to employing a diverse workforce. We
recruit and retain talented individuals without regard to gender,
race, age, marital status, disability, veteran status, sexual
orientation, gender identity, or any other status protected by
federal, state, or local law. eBlu Solutions is an Equal Employment
Opportunity and Affirmative Action
Employer.EO/Minorities/Females/Disabled/VeteransPI201264444
Keywords: eBlu Solutions LLC, Louisville , Insurance Verification Specialist, Other , Louisville, Kentucky
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