Insurance Verification / Billing Representative

Are you an experienced Insurance Verification / Billing Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Conduct inbound and/or outbound calls to patients, doctors’ offices, and insurance companies as necessary or required to complete tasks.

Respond to telephone inquiries (inbound calls): ascertain patient needs; respond appropriately & with urgency to patient requests, questions, complaints & concerns.

Ensure the existence & accuracy of patients’ Medicare, private, supplemental and/or secondary insurance.

Qualify patients’ orders & insurance eligibility based on Physicians’ Orders.

Ensure that new patients receive all required forms, documents, and disclosure statements.

Patient Export: Export patient information into database. Complete patient file maintenance. Enter initial supply orders into database.

Handle denials & appeals for private insurance and some Medicare patients.

Bill orders corresponding to a denial or change to the patient’s account.

Ensure accurate changes / data entry of patient records, including service issues. Update patient files for known changes to patient records. Ascertain that all updated changes are accurately entered in the appropriate application/system.

2-3 years’ experience with insurance verification, referrals and strong customer service experience

Able to work weekend hours (Sat 9am-2pm), on a rotating schedule.

Familiarity with standard concepts, practices, and procedures related to the pharmaceutical/medical environment, specifically in regards to urology/catheters and related equipment/supplies.

Call Center experience, and/or related telephone-skills experience in an insurance company, medical or doctor’s office.

Strong, professional communication skills, both written & verbal.

Monday – Friday (9:00 AM- 5:00 PM) + intermittent Saturdays hours (9:00 AM- 2:00 PM)

Competitive salary, $13-$14.50 per hr. (Depending on relevant experience)

If you are interested in applying to this position, please click on the apply now