INSURANCE VERIFICATION SPECIALIST | FG591

Avoda


Answers incoming phone calls for Insurance verifications. - Collects identification, referral, and insurance information and assesses eligibility based on admissions criteria, clinical presentation, and insurance policies. - Manages active leads/clients in CRM. - Maintains communications with patients and insurance companies. - Assists with running verification of insurance benefits. - Clearly and directly explains insurance coverage and payment options to families and/or providers. Negotiate payment arrangements if needed - Ensures that all intake forms are completed and signed upon admission. - Protect confidential patient health information (PHI) at all stages of the verification of benefits process - Perform detailed verifications of benefits for clients seeking coverage. - Obtain patient responsibility, research payer coverage criteria, and any required prior authorization requirements. - Track tasks, review reports for accuracy and completeness, and prepare and send insurance benefit verification results to healthcare providers on a deadline. - Report and resolve any payer delays/challenges and/or escalated complaints. - Collaborate with Market Access and Reimbursement teams. - Develop productive working relationships with the U.S. Direct Sales team to coordinate support to healthcare providers and patients. Requirement: - Fluent in English - Experience Tipo de puesto: Tiempo completo, Indefinido Salario: A partir de $2.500.000 al mes

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