What is your mission? 

You will provide the best service to our partner brands by performing these tasks:

• Check/Run real-time eligibility for current insurance(s).
• Responsible for initiating contact with insurance companies via Internet, phone, or fax for verification or referral for outpatient services to ensure timely and accurate insurance authorization prior to the patient’s scheduled appointment date/time.
• Secure demographic and primary/secondary/tertiary insurance, as well as any worker’s compensation or MVA insurance information; (i.e., nature of injury, name of claim manager, billing address and phone #, claim #’s) prior to patient visit.
• Work with clinic staff should there be a need to make schedule changes based on lack of insurance or referral prior to the patient’s visit.
• Responsible for reviewing and to do appropriate action for all provider’s inquiries, requests or questions.
• Attention to Detail: Intake specialists review all patient's medical history/records with a close eye so as not to miss any details that will deter recovery or care.
• Able to manage 60-80 faxes per day.
• Documents and attaches scans of all documents pertaining to verification/referrals to the patient’s EMR.
• Follow U.S. HIPAA guidelines for Security and PHI.

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Who are we looking for?

• Minimum of 1 year experience with health insurance verification and procedures in a portal-based setup.
• Experience with medical records, including chart notes, MRIs, X-rays, etc.
• Strong knowledge of U.S. insurance plans such as Medicare, Medicaid, HMOs, PPOs, Worker’s Compensation, and MVAs.
• Familiarity with payor contractual terms, medical terminology, anatomy, physiology, and U.S. ICD-9/ICD-10 and CPT/HCPCS coding.
• Excellent verbal communication skills to resolve authorization and verification issues.
• Exceptional attendance record to ensure operational efficiency.
• Bachelor’s degree graduate in any related field.