[Hiring] Insurance Verifier @Rotech Healthcare Inc.

Role Description

We are seeking a dedicated Insurance Verifier to join our team. This position services patient needs by verifying insurance coverage and performs administrative activities associated with the maintenance of medical documentation and medical records. This position pays between $18/hr - $23/hr depending on related experience and state hired in.

• Answers questions from customers, clerical staff, insurance companies, and physician offices
• Assures member's insurance policies (past and present) are accurately reflected in the AS400
• Demonstrates knowledge of insurance plan guidelines and the use of electronic systems for verification purposes
• Explains and collects co-pays, deductibles, and other patient balances when needed
• Identifies and resolves patient complaints
• Makes patients fully aware of financial obligations and eligibility for programs that may provide financial aid
• Provides patient education regarding third-party coverage and liabilities
• Reviews and approves documentation received by third parties, for submission to payers for reimbursement of orders shipped
• Updates tracking system with accurate and relevant information
• Uses electronic systems and payer websites for verification of insurance, authorizations, and referrals
• Verifies customer benefits via phone, fax, and/or web portal
• Performs other duties as assigned

Qualifications

• Employment is contingent on background check (company-wide)
• Drug screen (when applicable for the position)
• Compliance with healthcare facility credentialing process (when applicable for the position)
• Valid driver’s license in state of residence with a clean driving record (when applicable for the position)
• High school diploma or GED equivalent, required
• One year experience in a professional setting, preferably healthcare (preferred)
• Familiarity with medical terminology and insurances HCPCS/ICD-I O codes (preferred)
• Familiarity with Medicare, Medicaid and/or private insurance guidelines or policies (preferred)

Requirements

• Accurately perform simple mathematical calculations
• Effectively communicate in English; both oral and written
• Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
• Maintain confidentiality, discretion and caution when handling sensitive information
• Multi-task along with attention to detail
• Self-motivation, organized, time-management and deductive problem solving skills
• Work independently and as part of a team

Benefits

• Generous paid time off and paid holidays
• Overtime pay for non-exempt positions (as applicable)
• Commission for Account Executives
• Bonus and incentive opportunities
• Fixed and variable car reimbursement for Area Managers and Account Executives
• Car, mileage, and telephone reimbursement (as applicable)
• Employee discount and recognition programs
• Employee Assistance Program (EAP)
• 401(k), HSA, and FSA/Dependent Care FSA
• Medical, prescription, dental, and vision coverage
• Life insurance, disability, accidental death, identity protection, and legal services
• Meru Health mental health and Mercer SmartConnect Medicare programs
• Livongo Diabetes and High Blood Pressure programs
• Healthcare Bluebook and RX Savings Solutions programs
• Hepatitis B (HEPB) and TB vaccinations