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Insurance Verification Coordinator II

Company:
Liberator Medical Supply
Location:
Stuart, Florida, United States
Salary:
$12/HR
Posted:
November 07, 2018

Description:

Career Fair 11/15/2018 @ 2979 S.E Gran Parkway Stuart, FL 34997 from 9am to 5pm.

To verify new patient insurance coverage and to re-verify existing patient insurance coverage for medical supply eligibility and billing purposes.

1. Verification and documentation of new patient insurance coverage and coordinating costs for supplies in order to communicate to the patient and billing what the patient order cost will be

2. Re-verification of existing patient insurance coverage to ensure that repeat order cost and eligibility is communicated to the patient and the billing department

3. Contact insurance carriers to request any prior authorizations as needed for patients that must seek prior approval before obtaining medical supplies

4. Special verification projects for newly contracted insurance plans and audit of any patients that may be impacted

5. Verification of insurance coverage through HIPAA and regulatory complaint out bound phone calls or via the providers online portal

6. Communication internally with Sales operations or Medical Billing operations of insurance eligibility for each new and existing patient in order to complete the sale or obtain further medical documentation

7. Communication externally with patients to explain information received relative to their insurance benefit and how it relates to their medical supply purchase

8. Develops and maintains knowledge in medical terminology, billing and insurance guidelines

9. Ability to identify and professionally resolve insurance verification related issues

10. Track daily production and submit daily log to direct supervisor