Insurance Verification & Authorization Specialist

BHI helps you manage your TDD patients. And your practice. Todays targeted drug delivery and infusion needs require confident coordination among physicians, provider staff, and patients. BHI helps connect all three to allow doctors to extend care beyond the office, provider staff to centralize management for greater efficiency, and patients to receive TDD right in their own home with experienced nurses. BHI helps bring physicians, provider staff, and patients together for Better Home Infusion. Basic Home Infusion is hiring for an Insurance Verifications & Authorization Specialist to join our team in Wayne, NJ. This is a full-time opportunity that works Monday-Friday in office. Essential Job Functions: Identify and document all patient accounts accurately based on what type of insurance product the patient has, PPO, HMO, other Managed Care Organizations, Medicare Advantage Plans, Government plans or Workman Compensation policies. Perform detailed, accurate and timely insurance verifications for patients seeking treatment. Protect confidential patient health information (PHI) at all stages of the verification of benefits process. Accurately complete all data entry necessary, including patient demographics, insurance information, and benefit details. Confirm pre-authorization requirements, submit available medical documentation, and document authorization approvals or denials. Document insurance benefits, co-payments, deductibles and self-pay portions in the account to allow for collections due. Track tasks, review reports for accuracy and completeness, prepare and send insurance benefit verification results to designated departments on deadline. Call patients at their home, etc. to obtain any additional demographic or insurance related information that may prevent completion of assigned verification tasks. Qualifications: High school diploma or GED At least 2-5 years of medical billing & Insurance verification experience Home Care billing experience is highly preferred but not required Proficiency in Microsoft Office Basic level mathematical proficiency, with a strong ability to understand, interpret, calculate and communicate financial responsibility Advanced knowledge of In-Network and Out-of-Network health insurance processing preferred Ability to meet critical deadlines Must be able to sit for extended periods of time Must be able to lift up to 20 pounds At Basic Home Infusion, we are deeply committed to promoting diversity, equity, and inclusion in our provision of intrathecal infusion pain management services. We recognize that these core values are essential for achieving optimal patient outcomes and creating a supportive and inclusive environment for our team members.