Insurance Specialist

Tyler, TX 75701

Posted: 06/27/2019 Employment Type: T2Hire Industry: Accounting & Finance Job Number: 71284 Pay Rate: 15.00 Branch: Division:
AtWork Personnel is currently seeking a Insurance Specialist for a high-volume healthcare facility in the Tyler area.
Responsibilities
• Responsible for verifying private insurance eligibility and benefits on all new patients who have private insurance as a pay or source; ensure patient is not on service with another home healthcare agency providing same requested services & that requested services are covered benefits.
• Assists with monthly eligibility checks; notifies branches/billing/authorization coordinators of changes, including terminations, additional private insurance coverage and all needed follow up.
• Accurately and timely obtains pre-authorization of private insurance with submission of all required documentation.
• Provides timely notification to the appropriate office location and personnel responsible for scheduling care of new patient; fax and email Start of Care information and all other appropriate documentation on patient to correct office location.
• Serves as backup personnel for Financial Counselor as needed; answers all incoming calls, route calls to appropriate personnel, assist callers with information on home health services, documents patient referral information, and input referral information into computer system accurately.
• Act as a resource for nurse case managers, therapists and managers to provide information on referrals, agency services provided, and service areas.
• Responsible for accurate and timely processing of insurance verification; prioritize insurance verifications in order of urgency and Start of Care date.
Qualifications
• Requires ability to accurately type up to 50 wpm and exhibit excellent data entry skills.
• Excellent computer software skills necessary to produce accurate documents and materials required. Working knowledge of MS Office, Excel, or similar software required. Proficient use of MS Office and Excel preferred.
• 2-3 years of experience in calling insurance companies to obtain detailed benefit information and authorizations, customer service, electronic medical records maintenance, and basic spreadsheet skills.
• 2-3 years of experience in medical claims.
About AtWork For You™
For over 30 years, clients and candidates have entrusted AtWork to provide workforce solutions nationwide. Our staffing and recruiting expertise in healthcare, professional, and commercial verticals have strengthened our continued relationships with clients from small businesses to Fortune 1000 organizations. Our successful relationships with top professionals in these verticals span from staff to C-Suite candidates. AtWork is honored to be the recipient of the Best in Staffing - Talent Satisfaction Award four consecutive years since 2014. We have all been on the candidate side of a career search and our philosophy is simple. Be kind, always professional, and keep communication lines open at all times. More importantly, never forget what it feels like to look for a job. Recognizing the importance of making career decisions, AtWork's team takes a simplified and personal approach when working with our candidates.
Apply today and discover how we're AtWork For You™. AtWork is an Equal Opportunity Employer.

Maria Carrillo

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