Insurance / Eligibility Verification - RCM (Voice )

Responsibilities:

• Accurately obtain patient demographic from face sheets, facilities or patient calls.
• Validate and verify the medical insurance plans of patients.
• Digitize patients data, EHR, and Nextgen billing system.
• File documents regarding patient records
• Works with at least 50 patients per day
• Adhere to all HIPAA guidelines during facility, payer, and/or patient communication.
• Keeps up to date with healthcare practices, laws, and regulations related to insurance requirements and types of plans.
• Prioritizes work and manages time effectively to meet set requirements made by the manager.
• Reports any technical issues or unavailability of tools and or resources required to meet and surpass required productivity and quality
• Report any accounts incorrectly added to assigned task(s) for correction to management.
• Assists with other administrative tasks as needed
• Ability to analyze unique scenarios and determine the correct action.
• Proactive thinking and analytical skills
• Other duties may be assigned

Requirement:

• Minimum of 3 years experience in US Healthcare Insurance Verification
• Knowledge of medical terminology, CPT, ICD10 and HIPAA regulations
• Computer Skills/Proficiency using EMR and other software programs such as MS Word, Excel, and online payer portals
• Must have good oral communication skills and the ability to communicate effectively both on the phone and in person.
• Must be willing to adapt or adjust to accommodate the inflow of tasks and projects
• Must be extremely organized, highly motivated self-starter with excellent attention to detail.
• Demonstrates initiative, ability to work independently and in a team setting.
• Must be detail oriented to ensure all the details are done correctly the first time around.
• Ability to multitask and navigate between platforms is a must.
• Ability to act ethically and within the guidelines of company compliance policies and code of conduct
• Ability to meet daily production goals and other tasks and metrics as assigned.
• Ability to follow all company policies and procedures