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As a Medical Insurance Verification Specialist, you'll play a crucial role in ensuring Medicaid claims are verified accurately, securing proper payment, and appealing any denials. Advantage Resourcing is seeking a dedicated Medical Insurance Verification Specialist to join our team in Lafayette, LA. Take the next step in your career with a leading healthcare company and embark on an exciting journey today.
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Oversees the operations of the Home Sleep Delivered (HSD) & Viemed Sleep Services, consisting of intake, insurance verification, scheduling, scoring and preparing orders for claims submission.
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Perform insurance verification through Onesource or by calling insurance carriers. Experience with Medicare, Medicaid, Private Insurance and Managed Care Plans. Obtain Authorization if required by Insurance.
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Additionally, you can expect: Tuition reimbursement Growth opportunities Affordable employee benefits A community culture where you do not feel lost in a large health system Job SummaryResponsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class.
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Responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction through consistently representing the company professionally and cross trained to support multiple functions across all patient and payer types.
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Stays current on insurance requirements, reimbursement and legislative issues that may affect the performance of Home Sleep Delivered & Viemed Sleep Services. Success in this position will be determined by the ability of the team to hit sleep study referral conversion metrics in a cost effective and timely manner.
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Responsible for accurately completing and interpreting insurance verification and benefits. Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to Site Billing Specialist.
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Employee Core Benefits Package Includes: Medical coverage Dental coverage Vision coverage Life insurance & Accidental Death and Dismemberment (AD&D) Short-term and long-term disability Retirement plan Paid-time off (vacation/sick/personal days) / paid holidays Paid parental leave *Benefits are subject to change at any time.
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At least 1 year experience as a pharmacist in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
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Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations.
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Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management. Responsible for ensuring the proper compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies and procedures.
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This includes, but not limited to: drug screens, biometric screening and insurance exams. Quest Diagnostics observes minimum age requirements established by federal, state and/or local laws, and will ask an applicant for verification when deemed necessary.
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Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due. One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience.
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Basic understandings of medical insurance benefits. Verifies and records insurance benefits, with the ability to understand and provide insurance breakdowns. Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate.
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