Insurance Verification Representative - (Full Time) Cullman, AL - Cullman - job 635983

Sequence Health

Date: 02/23/2021

City: Cullman, Alabama

Employment type: Full-time

Since 2004, Sequence Health has been providing healthcare organizations with systems and services that significantly increase patient volumes throughout the care pathway. We work with hundreds of medical organizations across the country providing patient engagement solutions that dramatically increase top-line revenues, while at the same time providing a level of patient-centered care that is unmatched in the Healthcare industry.


Insurance Verification Representative - (Full Time) Cullman, AL


JOB SUMMARY


An insurance verification specialist is a health care professional working to ensure that patients' health care benefits cover required procedures. This person will contact a patient's insurance company to verify coverage levels and works with individuals to educate them on their benefits information. They serve as a valued member of the health care team, helping patients get the medical procedures they need. They will also be responsible for responding to telephone inquiries from callers as they relate to health services our customers provide.


CORE COMPETENCIES, DUTIES, AND RESPONSIBILITIES




  • Experience working with insurance companies and have extensive knowledge of different types of coverage and policies




  • Must have excellent multitasking skills, with the ability to work on many projects at once. Must be very detail-oriented and organized to maintain accurate patient insurance records




  • Must work well with others, as they'll work as part of a health care team, striving to provide patients with the best care possible




  • Answer telephone promptly and in a polite and professional manner




  • Obtain and enter accurate demographic information into LeadTracker (address, telephone number, name of insurance as required by practice)




  • Schedule seminar or appointment correctly in LeadTracker or other scheduling system used by the customer- review seminar/appointment date, time, location, and provider name with caller




  • Inform caller of items to bring to appointment (including insurance card and identification as required by practice)




  • Remind caller to arrive 15 to 30 minutes before scheduled seminar/appointment to complete paperwork




  • Remind caller of cancellation/no-show policy




  • Answer questions and offer other information, as requested, to provide patient-focused service and a positive impression of the organization




  • Seeks and supports changes in call flow processes and communication services. Suggests improvements and participates in organized efforts to improve service levels




  • Meets and exceeds call volume standards




  • Adheres to all HIPPA policies




  • Adheres to all Sequence Health policies




  • Act as a liaison for the patients and the Health Center




  • Direct calls to other departments as needed




  • Serves as a valuable resource to patients, providing pertinent information regarding their coverage




  • Use sound judgment in handling calls, especially with upset patients




  • Understanding of when to escalate calls to physicians/practice manager/triage nurse




  • Service patients




  • Contacts insurance companies and patient regarding insurance




  • Communicates with practice via email and written communication regarding coverage




  • Provide assistance with call backs and other projects as call volume permits



  • Other reasonably related duties as assigned by supervisor or manager


QUALIFICATIONS




  • Ability to handle confidential and sensitive information




  • Ability to have working knowledge of medical terminology and are familiar with insurance and hospital billing policies and procedures




  • Ability to communicate effectively on the telephone




  • Ability to relate to persons with diverse educational, socioeconomic, and ethnic backgrounds




  • Ability to handle a "call center" environment: work quickly and multi-task




  • Ability to exercise good judgment to handle calls appropriately




  • Ability to demonstrate good customer service




  • Ability to arrive at workstation on time, ready to work, and demonstrates minimal absenteeism




  • Ability to use online resources to and tools to educate callers correctly




  • Ability to follow break and lunch schedule based on call volume and forecasting



  • Ability to multi-task using several systems and multiple monitors at the same time


PHYSICAL DEMANDS




  • Ability to hear in normal range and wear a headset / ear piece




  • Good visual acuity to read computer screens, scripts, forms etc




  • Sits 100% of the time when taking calls



  • Clear articulation of English is essential to communicate with patient / clients, physicians and other practice staff


MINIMUM REQUIREMENTS




  • One or two years of experience working in a hospital admission, doctors office, pharmacy or billing setting




  • Have working knowledge of CPT codes and Diagnostic Codes




  • Working knowledge of co-pay and out of pocket expenses from an insurance perspective




  • One or more years of experience working in a medical or healthcare environment preferred




  • Previous scheduling experience preferred




  • Microsoft Office Suite (Excel, Word, and Outlook) and Internet




  • Bilingual preferred



  • Prefer candidates who live within a 50-mile radius





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