Insurance Verification Specialist
Company: eBlu Solutions LLC
Location: Louisville
Posted on: January 27, 2023
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 preferred
- Working knowledge of drug reimbursement issues
- Understanding of Health Plan Medical Policies and Prior
Authorization Criteria
- Knowledge of HCPCS, CPT, and ICD-10 coding
- Data entry skills required
- Ability to resolve problems independently
- Ability 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/VeteransPI201264134
Keywords: eBlu Solutions LLC, Louisville , Insurance Verification Specialist, Other , Louisville, Kentucky
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